Provider Demographics
NPI:1417598699
Name:AM/PM SHUTTLE SERVICE
Entity Type:Organization
Organization Name:AM/PM SHUTTLE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAFFON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:760-409-8826
Mailing Address - Street 1:PO BOX 78
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92263-0078
Mailing Address - Country:US
Mailing Address - Phone:760-409-8826
Mailing Address - Fax:
Practice Address - Street 1:5000 E CALLE SAN RAPHAEL STE C2
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-3407
Practice Address - Country:US
Practice Address - Phone:760-409-8826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)