Organization
MV TRANSPORTATION
Active
Organization
MV TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LUMONT RICHARDSON (CFO)
(707) 863-8709
Entity
Organization
Contact information
Practice address
555 TULLY ROAD, MV TRANSPORTATION, SAN JOSE, CA 95111
(408) 292-3600
(408) 278-9370
Mailing address
360 CAMPUS LANE, MV TRANSPORTATION STE #201, FAIRFIELD, CA 94534
(707) 863-8980
(707) 863-8712
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN00621F
MEDI-CAL PROVIDER #
CA
Enumeration date
07/31/2007
Last updated
09/04/2007
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