Organization
ACTIVE TRANSPORT MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON BROWN (PARTNER/OWNER)
(916) 320-6606
Entity
Organization
Contact information
Practice address
121 HERON WAY STE A, MERCED, CA 95341-8011
(916) 320-6606
Mailing address
24 OXFORD AVE, CLOVIS, CA 93612-0943
(559) 392-1387
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
—
Enumeration date
06/10/2019
Last updated
10/05/2023
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