Provider Demographics
NPI:1689358608
Name:NOR-CAL TRANSPORT GROUP LLC
Entity Type:Organization
Organization Name:NOR-CAL TRANSPORT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLEE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SKAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-990-3961
Mailing Address - Street 1:14281 SKYWAY
Mailing Address - Street 2:
Mailing Address - City:MAGALIA
Mailing Address - State:CA
Mailing Address - Zip Code:95954-9453
Mailing Address - Country:US
Mailing Address - Phone:530-990-3961
Mailing Address - Fax:
Practice Address - Street 1:14281 SKYWAY
Practice Address - Street 2:
Practice Address - City:MAGALIA
Practice Address - State:CA
Practice Address - Zip Code:95954-9453
Practice Address - Country:US
Practice Address - Phone:530-990-3961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker