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Organization
PROTRANSPORT 1
Active
Organization
PROTRANSPORT 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MEISER (CHIEF FINANCIAL OFFICER)
(330) 217-2652
Entity
Organization
Contact information
Practice address
6040 COMMERCE BLVD STE 111, ROHNERT PARK, CA 94928-2181
(707) 665-4289
(707) 703-4619
Mailing address
PO BOX 31001-2208, PASADENA, CA 91110-2208
(707) 665-4295
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292158
MANAGED HEALTH NETWORK
CA
01
—
352176400
ACS US DEPT. OF LABOR
CA
05
—
MTN01132F
—
CA
01
—
ZZZ05021Z
BLUE SHIELD
CA
01
—
ZZZ22445Z
MEDICARE PTN
CA
Enumeration date
12/08/2005
Last updated
09/19/2024
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