Provider Demographics
NPI:1720816127
Name:PATIENCE MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:PATIENCE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHILINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-396-0417
Mailing Address - Street 1:20 GLENSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4709
Mailing Address - Country:US
Mailing Address - Phone:201-396-0417
Mailing Address - Fax:
Practice Address - Street 1:20 GLENSIDE DR
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4709
Practice Address - Country:US
Practice Address - Phone:201-396-0417
Practice Address - Fax:973-419-0414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport