Provider Demographics
NPI:1437603602
Name:GOLD COUNTRY TRANSPORTION, INC.
Entity Type:Organization
Organization Name:GOLD COUNTRY TRANSPORTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-477-8294
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:FORBESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95941-0302
Mailing Address - Country:US
Mailing Address - Phone:530-477-8294
Mailing Address - Fax:
Practice Address - Street 1:5403 FORBESTOWN RD
Practice Address - Street 2:
Practice Address - City:FORBESTOWN
Practice Address - State:CA
Practice Address - Zip Code:95941-9711
Practice Address - Country:US
Practice Address - Phone:530-477-8294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-05
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)