Provider Demographics
NPI:1376274662
Name:FRALEY MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:FRALEY MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:FRALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-990-6076
Mailing Address - Street 1:6326 ROBIN HOOD ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-4000
Mailing Address - Country:US
Mailing Address - Phone:503-990-6076
Mailing Address - Fax:
Practice Address - Street 1:6326 ROBIN HOOD ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97306-4000
Practice Address - Country:US
Practice Address - Phone:503-990-6076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-18
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company