Provider Demographics
NPI:1578241642
Name:MEDHEALTH TRANSPORT SERVICES LLC
Entity Type:Organization
Organization Name:MEDHEALTH TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-488-0851
Mailing Address - Street 1:PO BOX 16
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-0016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3072 LEMONADE LN
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-4386
Practice Address - Country:US
Practice Address - Phone:916-848-2007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)