Provider Demographics
NPI:1841682960
Name:SAMS TRANSPORTATION LLC
Entity type:Organization
Organization Name:SAMS TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:530-401-0444
Mailing Address - Street 1:12170 HERDAL DR
Mailing Address - Street 2:# 7
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-5637
Mailing Address - Country:US
Mailing Address - Phone:530-401-0444
Mailing Address - Fax:530-852-4788
Practice Address - Street 1:12170 HERDAL DR
Practice Address - Street 2:# 7
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5637
Practice Address - Country:US
Practice Address - Phone:530-401-0444
Practice Address - Fax:530-852-4788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-26
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)