Organization
GOODFAITH MEDICAL TRANSPORTATION CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSUELO MAYLAD (PRESIDENT)
(909) 888-5818
Entity
Organization
Contact information
Practice address
820 N E ST, SAN BERNARDINO, CA 92410-2929
(909) 888-5818
(909) 888-5166
Mailing address
820 N E ST, SAN BERNARDINO, CA 92410-2929
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN00529F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00529F
—
CA
Enumeration date
08/21/2006
Last updated
04/20/2022
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