Provider Demographics
NPI:1245572080
Name:GUARDIAN TRANSPORTATION
Entity Type:Organization
Organization Name:GUARDIAN TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALTON
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:GILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-212-2002
Mailing Address - Street 1:9567 S MISTY OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3303
Mailing Address - Country:US
Mailing Address - Phone:385-212-2002
Mailing Address - Fax:385-212-2003
Practice Address - Street 1:9567 S MISTY OAKS CIR
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3303
Practice Address - Country:US
Practice Address - Phone:385-212-2002
Practice Address - Fax:385-212-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi