Organization
RIDGECREST MEDICAL TRANSPORTATION
Active
Other names
Ridgecrest Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG E BOSKE (OWNER PARTNER)
(760) 495-2394
Entity
Organization
Contact information
Practice address
1110 W RIDGECREST BLVD, RIDGECREST, CA 93555-5413
(760) 382-6770
(760) 371-4222
Mailing address
1110 W RIDGECREST BLVD, RIDGECREST, CA 93555-5413
(760) 382-6770
(760) 371-4222
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396138467
—
CA
Enumeration date
03/12/2015
Last updated
02/10/2020
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