Provider Demographics
NPI:1194966119
Name:CITY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:CITY MEDICAL TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:GALIMBA
Authorized Official - Last Name:ANDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-468-2540
Mailing Address - Street 1:1485 BAY SHORE BLVD STE 320Z1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-3002
Mailing Address - Country:US
Mailing Address - Phone:415-468-2540
Mailing Address - Fax:
Practice Address - Street 1:1485 BAY SHORE BLVD STE 320Z1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-3002
Practice Address - Country:US
Practice Address - Phone:415-468-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-21
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)