Organization
FORWARD IXPRESS INC
Active
Organization
FORWARD IXPRESS INC
Active
Other names
Med Forward
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS I KOVACH (PRESIDENT)
(916) 745-5477
Entity
Organization
Contact information
Practice address
3125 WALNUT AVE, CARMICHAEL, CA 95608-3601
(916) 745-5477
(916) 200-0779
Mailing address
3125 WALNUT AVE, CARMICHAEL, CA 95608
(916) 745-5477
(916) 200-0779
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14061406
—
CA
Enumeration date
09/23/2015
Last updated
09/23/2015
Update your record
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