Provider Demographics
NPI:1811154792
Name:HORIZON MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:HORIZON MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KOSTYANTYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-258-9902
Mailing Address - Street 1:1997 FRIENDSHIP DR
Mailing Address - Street 2:SUITE 'C'
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1143
Mailing Address - Country:US
Mailing Address - Phone:619-258-9902
Mailing Address - Fax:619-258-9904
Practice Address - Street 1:1997 FRIENDSHIP DR
Practice Address - Street 2:SUITE 'C'
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1143
Practice Address - Country:US
Practice Address - Phone:619-258-9902
Practice Address - Fax:619-258-9904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)