Provider Demographics
NPI:1477389922
Name:COMMUNITY MEDICAL TRANSPORTATION NETWORK LLC
Entity type:Organization
Organization Name:COMMUNITY MEDICAL TRANSPORTATION NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CONRADO
Authorized Official - Middle Name:MACAPAGAL
Authorized Official - Last Name:VALIDO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:302-983-2555
Mailing Address - Street 1:719 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4919
Mailing Address - Country:US
Mailing Address - Phone:302-983-2555
Mailing Address - Fax:
Practice Address - Street 1:719 CENTER ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4919
Practice Address - Country:US
Practice Address - Phone:302-983-2555
Practice Address - Fax:302-200-1234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)