Provider Demographics
NPI:1235504929
Name:CSM MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:CSM MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MOLLENKOPF
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:5185-776-4515
Mailing Address - Street 1:33 HARRISON AVE
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-2146
Mailing Address - Country:US
Mailing Address - Phone:518-776-4514
Mailing Address - Fax:
Practice Address - Street 1:33 HARRISON AVE
Practice Address - Street 2:FLOOR 1
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-2146
Practice Address - Country:US
Practice Address - Phone:518-776-4514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-06
Last Update Date:2015-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi