Provider Demographics
NPI:1447796743
Name:DASH-NET NON- EMERGENCY TRANSPORT
Entity Type:Organization
Organization Name:DASH-NET NON- EMERGENCY TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN HILL
Authorized Official - Suffix:
Authorized Official - Credentials:12281964
Authorized Official - Phone:916-670-5005
Mailing Address - Street 1:6290 FENNWOOD COURT # H
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831
Mailing Address - Country:US
Mailing Address - Phone:916-670-5005
Mailing Address - Fax:
Practice Address - Street 1:6290 FENNWOOD CT APT H
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-1737
Practice Address - Country:US
Practice Address - Phone:916-670-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1027764343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA571673369Medicaid