Provider Demographics
NPI:1629817473
Name:BLUE ARROW NON EMERGENCY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:BLUE ARROW NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-275-1985
Mailing Address - Street 1:PO BOX 3856
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92413-3856
Mailing Address - Country:US
Mailing Address - Phone:951-275-1985
Mailing Address - Fax:
Practice Address - Street 1:9161 SIERRA AVE STE 208
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-4761
Practice Address - Country:US
Practice Address - Phone:909-997-0863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)