Organization
FAIRWAY TRANSPORTATION, INC
Active
Organization
FAIRWAY TRANSPORTATION, INC
Active
Other names
Medi-Van
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERRY D. SCHIMKE (CEO)
(209) 339-7044
Entity
Organization
Contact information
Practice address
33 MAXWELL ST, LODI, CA 95240-6320
(209) 333-7800
(209) 333-7887
Mailing address
PO BOX 746, WOODBRIDGE, CA 95258-0746
(209) 333-7800
(209) 369-0520
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01027F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01027F
—
CA
Enumeration date
11/10/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up