Provider Demographics
NPI:1477268993
Name:ON THE WAY NON EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:ON THE WAY NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:GLODES
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-375-0680
Mailing Address - Street 1:1480 E MALAGA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93725-2709
Mailing Address - Country:US
Mailing Address - Phone:559-375-0680
Mailing Address - Fax:
Practice Address - Street 1:1480 E MALAGA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93725-2709
Practice Address - Country:US
Practice Address - Phone:559-375-0680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty