Provider Demographics
NPI:1962633024
Name:SAINT JOSEPH'S MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:SAINT JOSEPH'S MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:670-483-7667
Mailing Address - Street 1:1 FIESTA INC BUILDING
Mailing Address - Street 2:BEACH ROAD
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950
Mailing Address - Country:US
Mailing Address - Phone:670-483-7667
Mailing Address - Fax:
Practice Address - Street 1:1 FIESTA INC BUILDING
Practice Address - Street 2:BEACH ROAD
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-483-7667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance