Organization
MV TRANSPORTATION
Active
Organization
MV TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LAMONT RICHARDSON (CFO)
(707) 863-8709
Entity
Organization
Contact information
Practice address
1250 SOUTH WILSON WAY, MV TRANSPORTATION STE #A1, STOCKTON, CA 95205
(209) 547-7879
(209) 547-7880
Mailing address
360 CAMPUS LANE, MV TRANSPORTATION #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
—
MTN00477F
PROVIDER NUMBER
—
Enumeration date
07/31/2007
Last updated
07/31/2007
Update your record
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