Organization
MV TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LAMONT RICHARDSON (CFO)
(707) 863-8709
Entity
Organization
Contact information
Practice address
10170 CROYDON WAY, STE #A, SACRAMENTO, CA 95827
(916) 854-2638
(916) 854-4540
Mailing address
360 CAMPUS LANE, STE #201, FAIRFIELD, CA 94534
(707) 863-8980
(707) 863-8712
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN00477F
PROVIDER NUMBER
—
Enumeration date
08/01/2007
Last updated
08/01/2007
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