Organization
MOUNTAIN MEDICAL TRANSPORT L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLIES KISSINGER MAIER (OWNER)
(559) 641-5438
Entity
Organization
Contact information
Practice address
31626 ERIE RD, COARSEGOLD, CA 93614-9726
(559) 641-5438
Mailing address
31626 ERIE RD, P.O. BOX 1181, COARSEGOLD, CA 93614-9726
(559) 641-5438
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B0009013
CA
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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