Provider Demographics
NPI:1972918068
Name:ALLIED MEDICAL TRANSPORT, LLC
Entity type:Organization
Organization Name:ALLIED MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAINIER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTAVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-888-2777
Mailing Address - Street 1:PO BOX 22482
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-2482
Mailing Address - Country:US
Mailing Address - Phone:661-888-2777
Mailing Address - Fax:661-888-2778
Practice Address - Street 1:10002 TUNGSTEN ST.
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-2482
Practice Address - Country:US
Practice Address - Phone:661-888-2777
Practice Address - Fax:661-888-2778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)