Provider Demographics
NPI:1982295408
Name:SCOTT, VICKY (NEMT TRANSPORTATION)
Entity Type:Individual
Prefix:
First Name:VICKY
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:NEMT TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:687-440 HEMLOCK WAY
Mailing Address - Street 2:
Mailing Address - City:SUSANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:96130-9622
Mailing Address - Country:US
Mailing Address - Phone:530-825-3506
Mailing Address - Fax:530-825-3506
Practice Address - Street 1:687-440 HEMLOCK WAY
Practice Address - Street 2:
Practice Address - City:SUSANVILLE
Practice Address - State:CA
Practice Address - Zip Code:96130-9622
Practice Address - Country:US
Practice Address - Phone:530-825-3506
Practice Address - Fax:530-825-3506
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-27
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle