Provider Demographics
NPI:1255910022
Name:MEDICAL TRANSPORT COMPANY
Entity type:Organization
Organization Name:MEDICAL TRANSPORT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:REBUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-203-9319
Mailing Address - Street 1:10424 E CANNON DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4929
Mailing Address - Country:US
Mailing Address - Phone:480-203-9319
Mailing Address - Fax:
Practice Address - Street 1:10424 E CANNON DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4929
Practice Address - Country:US
Practice Address - Phone:480-203-9319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date: