Provider Demographics
NPI:1851058986
Name:ANTELOPE VALLEY TRANSIT AUTHORITY
Entity Type:Organization
Organization Name:ANTELOPE VALLEY TRANSIT AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:VACCARO-FRY
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:661-729-2234
Mailing Address - Street 1:42210 6TH ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-7124
Mailing Address - Country:US
Mailing Address - Phone:661-945-9445
Mailing Address - Fax:
Practice Address - Street 1:42210 6TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7124
Practice Address - Country:US
Practice Address - Phone:661-945-9445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)