Provider Demographics
NPI:1710357629
Name:ETS NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:ETS NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-822-4831
Mailing Address - Street 1:7340 STOCKDALE ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-4930
Mailing Address - Country:US
Mailing Address - Phone:916-822-4831
Mailing Address - Fax:916-424-1220
Practice Address - Street 1:7340 STOCKDALE ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-4930
Practice Address - Country:US
Practice Address - Phone:916-822-4831
Practice Address - Fax:916-424-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1022042343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)