Organization
COVENANT MEDICAL TRANSPORTATION INC
Active
Organization
COVENANT MEDICAL TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY JIM-GEORGE B.SC (PRESIDENT)
(951) 662-5504
Entity
Organization
Contact information
Practice address
1400 E COOLEY DR, 207, COLTON, CA 92324-3939
(909) 498-4087
(760) 514-9043
Mailing address
1400 E COOLEY DR, 207, COLTON, CA 92324-3939
(909) 498-4087
(760) 514-9043
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
34390000X
CA
Other
Enumeration date
10/27/2009
Last updated
10/27/2009
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