Provider Demographics
NPI:1386008027
Name:AMERICA WEST MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:AMERICA WEST MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARISTOTLE
Authorized Official - Middle Name:CU
Authorized Official - Last Name:ANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-622-9892
Mailing Address - Street 1:9281 OFFICE PARK CIR STE 144
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-8096
Mailing Address - Country:US
Mailing Address - Phone:916-622-9892
Mailing Address - Fax:916-329-8926
Practice Address - Street 1:9281 OFFICE PARK CIR STE 144
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-8096
Practice Address - Country:US
Practice Address - Phone:916-622-9892
Practice Address - Fax:916-329-8926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)