Provider Demographics
NPI:1982450474
Name:CANAAN TRANSPORTATION INC
Entity Type:Organization
Organization Name:CANAAN TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-998-7094
Mailing Address - Street 1:17905 TALISMAN ST
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-5272
Mailing Address - Country:US
Mailing Address - Phone:760-244-7360
Mailing Address - Fax:
Practice Address - Street 1:17905 TALISMAN ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-5272
Practice Address - Country:US
Practice Address - Phone:760-244-7360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle