MEDICARE: NEW SKY TRANSPORTATION

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	:	1295145928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SKY TRANSPORTATION

Provider Business Mailing Address
First Line	:	8223 SANTA FE SPRINGS RD
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-2718
Country	:	US
Telephone Number	:	562-949-8929
Fax Number	:	562-907-0686

Provider Business Practice Location Address
First Line	:	8223 SANTA FE SPRINGS RD
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90606-2718
Country	:	US
Telephone Number	:	562-949-8929
Fax Number	:	562-907-0686

Authorized Official
Title or Position	:	MANAGER
Name	:	LUIS CARLOS MURILLO
Credential	:
Telephone Number	:	562-949-8928

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	05/02/2014

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Directions to “NEW SKY TRANSPORTATION ” Practice Location

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