Provider Demographics
NPI:1356638316
Name:ACHIEVE INC.
Entity Type:Organization
Organization Name:ACHIEVE INC.
Other - Org Name:ACHIEVE MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VON DEAUXPLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-924-9744
Mailing Address - Street 1:26246 KALMIA AVE
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-1723
Mailing Address - Country:US
Mailing Address - Phone:951-924-9744
Mailing Address - Fax:951-924-9744
Practice Address - Street 1:26246 KALMIA AVE
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-1723
Practice Address - Country:US
Practice Address - Phone:951-924-9744
Practice Address - Fax:951-924-9744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)