Provider Demographics
NPI:1932873387
Name:CENCAL MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:CENCAL MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBBER
Authorized Official - Prefix:MR
Authorized Official - First Name:EMERITO
Authorized Official - Middle Name:FRONDARINA
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-284-8854
Mailing Address - Street 1:PO BOX 4074
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93613-4074
Mailing Address - Country:US
Mailing Address - Phone:559-701-7088
Mailing Address - Fax:559-501-0500
Practice Address - Street 1:3168 RIALTO AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-9271
Practice Address - Country:US
Practice Address - Phone:559-701-7088
Practice Address - Fax:559-501-0500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)