Provider Demographics
NPI:1992246318
Name:WHEELS OF HOPE MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:WHEELS OF HOPE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MEDICAL TRANSPORTATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:JARRETT FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-740-8587
Mailing Address - Street 1:PO BOX 351
Mailing Address - Street 2:
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-0351
Mailing Address - Country:US
Mailing Address - Phone:559-740-8587
Mailing Address - Fax:
Practice Address - Street 1:2895 NE 47TH ST
Practice Address - Street 2:APT #D1
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-5245
Practice Address - Country:US
Practice Address - Phone:559-740-8587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)