# PROTRANSPORT 1

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750366068
- **Authorized official:** JUSTIN MEISER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (330) 217-2652

## Contact information

- **Practice address:** 6040 COMMERCE BLVD STE 111, ROHNERT PARK, CA 94928-2181
- **Practice address phone:** (707) 665-4289
- **Practice address fax:** (707) 703-4619
- **Mailing address:** PO BOX 31001-2208, PASADENA, CA 91110-2208
- **Mailing address phone:** (707) 665-4295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1830 | CA | Yes |

## Other

- **Enumeration date:** 12/08/2005
- **Last updated:** 09/19/2024

## 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 |