Provider Demographics
NPI:1063191385
Name:GOLDEN VALLEY MEDICAL TRANSPORT INC
Entity type:Organization
Organization Name:GOLDEN VALLEY MEDICAL TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GURDIP
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:DHINDSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-444-7666
Mailing Address - Street 1:4604 CIMARRON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-5549
Mailing Address - Country:US
Mailing Address - Phone:661-444-7666
Mailing Address - Fax:
Practice Address - Street 1:4604 CIMARRON RIDGE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-5549
Practice Address - Country:US
Practice Address - Phone:661-444-7666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)