Provider Demographics
NPI:1811173123
Name:HALL CRITICAL CARE TRANSPORT SERVICE, INC.
Entity type:Organization
Organization Name:HALL CRITICAL CARE TRANSPORT SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:6613-220-8741
Mailing Address - Street 1:1001 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4708
Mailing Address - Country:US
Mailing Address - Phone:661-322-8741
Mailing Address - Fax:661-322-4303
Practice Address - Street 1:1001 21ST ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4708
Practice Address - Country:US
Practice Address - Phone:661-322-8741
Practice Address - Fax:661-322-4303
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HALL AMBULANCE SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No341600000XTransportation ServicesAmbulance