Provider Demographics
NPI:1326597717
Name:HART TRANSPORT, INC.
Entity Type:Organization
Organization Name:HART TRANSPORT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARTMANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-712-0183
Mailing Address - Street 1:21801 ROSCOE BLVD UNIT 149
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-3994
Mailing Address - Country:US
Mailing Address - Phone:818-712-0183
Mailing Address - Fax:
Practice Address - Street 1:21801 ROSCOE BLVD UNIT 149
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-3994
Practice Address - Country:US
Practice Address - Phone:818-712-0183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)