MEDICARE: GOLDEN VALLEY MEDICAL TRANSPORT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063191385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN VALLEY MEDICAL TRANSPORT INC

Provider Business Mailing Address
First Line	:	4604 CIMARRON RIDGE DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-5549
Country	:	US
Telephone Number	:	661-444-7666
Fax Number	:

Provider Business Practice Location Address
First Line	:	4604 CIMARRON RIDGE DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-5549
Country	:	US
Telephone Number	:	661-444-7666
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GURDIP SINGH DHINDSA
Credential	:
Telephone Number	:	661-444-7666

Provider Enumeration Date	:	07/13/2023
Last Update Date	:	07/13/2023

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