Provider Demographics
NPI:1962275958
Name:MEDI-LIFT INC
Entity type:Organization
Organization Name:MEDI-LIFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MENDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-845-0806
Mailing Address - Street 1:2000 SUNNY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:FORTUNA
Mailing Address - State:CA
Mailing Address - Zip Code:95540-1618
Mailing Address - Country:US
Mailing Address - Phone:707-845-0806
Mailing Address - Fax:
Practice Address - Street 1:2000 SUNNY HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:FORTUNA
Practice Address - State:CA
Practice Address - Zip Code:95540-1618
Practice Address - Country:US
Practice Address - Phone:707-845-0806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company