Provider Demographics
NPI:1407920986
Name:ON CALL TRANSPORT INC
Entity Type:Organization
Organization Name:ON CALL TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-248-9100
Mailing Address - Street 1:1551 E SHAW AVE
Mailing Address - Street 2:116
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8024
Mailing Address - Country:US
Mailing Address - Phone:559-248-9100
Mailing Address - Fax:559-248-9119
Practice Address - Street 1:1551 E SHAW AVE
Practice Address - Street 2:116
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8024
Practice Address - Country:US
Practice Address - Phone:559-248-9100
Practice Address - Fax:559-248-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01175FMedicaid