Provider Demographics
NPI:1598142986
Name:MED TRANSPORT
Entity Type:Organization
Organization Name:MED TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-786-9514
Mailing Address - Street 1:48387 MCCARTY BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH POWDER
Mailing Address - State:OR
Mailing Address - Zip Code:97867-8118
Mailing Address - Country:US
Mailing Address - Phone:541-786-9514
Mailing Address - Fax:
Practice Address - Street 1:48387 MCCARTY BRIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH POWDER
Practice Address - State:OR
Practice Address - Zip Code:97867-8118
Practice Address - Country:US
Practice Address - Phone:541-786-9514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport