Provider Demographics
NPI:1134885395
Name:MTS TRANSPORT
Entity type:Organization
Organization Name:MTS TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:279-758-2069
Mailing Address - Street 1:410 PENHOW CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2585
Mailing Address - Country:US
Mailing Address - Phone:916-279-7582
Mailing Address - Fax:916-515-1479
Practice Address - Street 1:180 PROMENADE CIR STE 300
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2952
Practice Address - Country:US
Practice Address - Phone:279-758-2069
Practice Address - Fax:916-515-1479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)