Provider Demographics
NPI:1417425588
Name:INSPIRATION TRANSPORTATION
Entity Type:Organization
Organization Name:INSPIRATION TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-578-3848
Mailing Address - Street 1:7081 N MARKS AVE
Mailing Address - Street 2:STE 104, PMB 195
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3480 W BLUFF AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-0105
Practice Address - Country:US
Practice Address - Phone:559-578-3848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle