Provider Demographics
NPI:1952004293
Name:THE BLUE CROSS MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:THE BLUE CROSS MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:KIBET
Authorized Official - Last Name:KEMEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-710-2915
Mailing Address - Street 1:18002 118TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-9162
Mailing Address - Country:US
Mailing Address - Phone:515-710-2915
Mailing Address - Fax:515-710-2915
Practice Address - Street 1:18002 118TH AVENUE CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-9162
Practice Address - Country:US
Practice Address - Phone:515-710-2915
Practice Address - Fax:515-710-2915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)