Provider Demographics
NPI:1477804623
Name:MOUNTAIN PROPERTY MANAGEMENT AND MAINTENANCE, INC.
Entity Type:Organization
Organization Name:MOUNTAIN PROPERTY MANAGEMENT AND MAINTENANCE, INC.
Other - Org Name:MOUNTAIN MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:877-600-6867
Mailing Address - Street 1:559 ROLLING ROCK RD
Mailing Address - Street 2:
Mailing Address - City:TOPTON
Mailing Address - State:NC
Mailing Address - Zip Code:28781-7013
Mailing Address - Country:US
Mailing Address - Phone:877-600-6867
Mailing Address - Fax:877-267-1926
Practice Address - Street 1:559 ROLLING ROCK RD
Practice Address - Street 2:
Practice Address - City:TOPTON
Practice Address - State:NC
Practice Address - Zip Code:28781-7013
Practice Address - Country:US
Practice Address - Phone:877-600-6867
Practice Address - Fax:877-267-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0748983416L0300X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)