Provider Demographics
NPI:1578159174
Name:ELITE MEDICAL TRANSPORT INC
Entity Type:Organization
Organization Name:ELITE MEDICAL TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:ROBAINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-547-1505
Mailing Address - Street 1:123 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-2504
Mailing Address - Country:US
Mailing Address - Phone:786-547-1505
Mailing Address - Fax:
Practice Address - Street 1:123 3RD ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-2504
Practice Address - Country:US
Practice Address - Phone:786-547-1505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)