Organization
COMMUNITY MED TRANS, INC
Active
Other names
Community Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YENESAW WASIHUN NEGATU (CEO)
(559) 612-0220
Entity
Organization
Contact information
Practice address
4220 N COLLEGE AVE APT A, FRESNO, CA 93704-3863
(559) 612-0220
Mailing address
4220 N COLLEGE AVE APT A, FRESNO, CA 93704-3863
(559) 612-0220
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34390000X
—
CA
Enumeration date
10/25/2019
Last updated
10/25/2019
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