Provider Demographics
NPI:1821232877
Name:EXPRESS MEDI-TRANS, INC.
Entity Type:Organization
Organization Name:EXPRESS MEDI-TRANS, INC.
Other - Org Name:CARE-A-VAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:DYANN
Authorized Official - Last Name:KOZA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT
Authorized Official - Phone:530-221-4826
Mailing Address - Street 1:PO BOX 493392
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-3392
Mailing Address - Country:US
Mailing Address - Phone:530-221-4826
Mailing Address - Fax:530-221-6334
Practice Address - Street 1:2553 VICTOR AVE STE B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1499
Practice Address - Country:US
Practice Address - Phone:530-221-4826
Practice Address - Fax:530-221-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)