Provider Demographics
NPI:1205238060
Name:AURORA MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:AURORA MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:POGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-392-7055
Mailing Address - Street 1:2330 OLD RICHARDSON HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-6017
Mailing Address - Country:US
Mailing Address - Phone:907-488-6488
Mailing Address - Fax:907-490-0322
Practice Address - Street 1:2330 OLD RICHARDSON HWY
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-6017
Practice Address - Country:US
Practice Address - Phone:907-488-6488
Practice Address - Fax:907-490-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1010602347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle