Organization
ARCHER MEDTRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB RYAN ARCHER EMT (PRESIDENT & CEO)
(661) 441-0131
Entity
Organization
Contact information
Practice address
1607 E PALMDALE BLVD STE D, PALMDALE, CA 93550-4880
(661) 441-0131
Mailing address
1607 E PALMDALE BLVD STE D, PALMDALE, CA 93550-4880
(661) 441-0131
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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