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NPI Code Detail

MEDICARE: CTC TRIAD, INC.

MEDICARE: CTC TRIAD, 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1073840369
Entity Type Code : Organization
Provider Name (Legal Business Name) : CTC TRIAD, INC.
Provider Business Mailing Address
First Line : 1275 FAIRFAX AVE STE 203A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94124-1759
Country : US
Telephone Number : 415-777-2237
Fax Number : 415-777-2259
Provider Business Practice Location Address
First Line : 2521 PORT ST
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3503
Country : US
Telephone Number : 916-333-5733
Fax Number : 916-333-5797
Authorized Official
Title or Position : CFO
Name : CHANCHIRA NARIUNANONT
Credential :
Telephone Number : 415-777-2237
Provider Enumeration Date : 11/09/2009
Last Update Date : 01/24/2025

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Directions to “CTC TRIAD, INC. ” Practice Location

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