Organization
GOOD SAMARITAN TRANSPORT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE OLAGUE (OWNER)
(760) 680-8154
Entity
Organization
Contact information
Practice address
16357 WALNUT ST, HESPERIA, CA 92345-3623
(760) 680-8154
Mailing address
16357 WALNUT ST, HESPERIA, CA 92345-3623
(760) 680-8154
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A4509324
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
NON-EMERGENCY MEDICAL TRANSPORT
CA
Enumeration date
01/25/2017
Last updated
01/25/2017
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