Provider Demographics
NPI:1699298984
Name:EMPIRE MEDICAL TRANSPORTATIONS LLC
Entity type:Organization
Organization Name:EMPIRE MEDICAL TRANSPORTATIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MERAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-530-8420
Mailing Address - Street 1:1433 W LINDEN ST STE M
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-6816
Mailing Address - Country:US
Mailing Address - Phone:951-530-8420
Mailing Address - Fax:951-530-8408
Practice Address - Street 1:1433 W. LINDEN STREET
Practice Address - Street 2:SUITE M
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507
Practice Address - Country:US
Practice Address - Phone:951-530-8420
Practice Address - Fax:951-530-8408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)