Provider Demographics
NPI:1790558724
Name:DC3 MEDICAL TRANSPORT SERVICES
Entity Type:Organization
Organization Name:DC3 MEDICAL TRANSPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-331-7324
Mailing Address - Street 1:202 E AIRPORT DR STE 255
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3428
Mailing Address - Country:US
Mailing Address - Phone:909-567-2989
Mailing Address - Fax:909-453-0820
Practice Address - Street 1:202 E AIRPORT DR STE 255
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3428
Practice Address - Country:US
Practice Address - Phone:909-567-2989
Practice Address - Fax:909-453-0820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)