Provider Demographics
NPI:1427221969
Name:HORIZON TRANSPORT
Entity Type:Organization
Organization Name:HORIZON TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCENARO-MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-235-7358
Mailing Address - Street 1:733 TANNER DR
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-1809
Mailing Address - Country:US
Mailing Address - Phone:805-235-7358
Mailing Address - Fax:805-237-1288
Practice Address - Street 1:733 TANNER DR
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-1809
Practice Address - Country:US
Practice Address - Phone:805-235-7358
Practice Address - Fax:805-237-1288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA03672343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)