Provider Demographics
NPI:1710545942
Name:GREEN BIRD TRANSPORT NON-EMERGENCY TRANSPORTION
Entity Type:Organization
Organization Name:GREEN BIRD TRANSPORT NON-EMERGENCY TRANSPORTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMARRIPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-997-2473
Mailing Address - Street 1:PO BOX 276389
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-6389
Mailing Address - Country:US
Mailing Address - Phone:210-997-2473
Mailing Address - Fax:
Practice Address - Street 1:6303 W US HIGHWAY 90
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-3706
Practice Address - Country:US
Practice Address - Phone:210-997-2473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)