Organization
BLS NON-EMERGENT MEDICAL TRANSPORT
Active
Organization
BLS NON-EMERGENT MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON LAWRENCE SIMMONS EMT (OWNER/OPERATOR)
(805) 226-7308
Entity
Organization
Contact information
Practice address
4735 BEACON RD, PASO ROBLES, CA 93446
(805) 226-7308
Mailing address
PO BOX 899, PASO ROBLES, CA 93447-0899
(805) 226-7308
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
0732909
CA
343900000X
Non-emergency Medical Transport (VAN)
0732909
CA
344600000X
Taxi
0732909
CA
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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