Provider Demographics
NPI:1942586730
Name:GET THERE MED TRANSPORT
Entity Type:Organization
Organization Name:GET THERE MED TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIANNE
Authorized Official - Middle Name:CRUZ
Authorized Official - Last Name:MARIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-680-3655
Mailing Address - Street 1:1695 KINGMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2828
Mailing Address - Country:US
Mailing Address - Phone:408-639-1691
Mailing Address - Fax:
Practice Address - Street 1:1695 KINGMAN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2828
Practice Address - Country:US
Practice Address - Phone:408-639-1691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)