Provider Demographics
NPI:1942437868
Name:C&D MEDICAL TRANSPORT SERVICE
Entity Type:Organization
Organization Name:C&D MEDICAL TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAIR
Authorized Official - Middle Name:B
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-305-0782
Mailing Address - Street 1:100 N. HILL RD.
Mailing Address - Street 2:PO BOX 15
Mailing Address - City:TERRE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17581
Mailing Address - Country:US
Mailing Address - Phone:717-305-0782
Mailing Address - Fax:
Practice Address - Street 1:100 N. HILL RD.
Practice Address - Street 2:
Practice Address - City:TERRE HILL
Practice Address - State:PA
Practice Address - Zip Code:17581
Practice Address - Country:US
Practice Address - Phone:717-305-0782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)