Provider Demographics
NPI:1538462494
Name:GET THERE MED TRANSPORT, LLC
Entity Type:Organization
Organization Name:GET THERE MED TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JONA
Authorized Official - Middle Name:DIZON
Authorized Official - Last Name:ROMUALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-674-7477
Mailing Address - Street 1:1463 NESBIT CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-3850
Mailing Address - Country:US
Mailing Address - Phone:408-639-1961
Mailing Address - Fax:408-516-8333
Practice Address - Street 1:333 SANTANA ROW
Practice Address - Street 2:STE. 318
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2000
Practice Address - Country:US
Practice Address - Phone:408-674-7477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)