Provider Demographics
NPI:1013660901
Name:YVONNE MACINTOSH TRANSPORT
Entity Type:Organization
Organization Name:YVONNE MACINTOSH TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-537-3735
Mailing Address - Street 1:2909 E HATCH RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95351-4921
Mailing Address - Country:US
Mailing Address - Phone:209-537-2359
Mailing Address - Fax:
Practice Address - Street 1:2909 E HATCH RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-4921
Practice Address - Country:US
Practice Address - Phone:209-538-3735
Practice Address - Fax:209-537-4802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)