MEDICARE: DC3 MEDICAL TRANSPORT SERVICES

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	:	1790558724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DC3 MEDICAL TRANSPORT SERVICES

Provider Business Mailing Address
First Line	:	202 E AIRPORT DR STE 255
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-3428
Country	:	US
Telephone Number	:	909-567-2989
Fax Number	:	909-453-0820

Provider Business Practice Location Address
First Line	:	202 E AIRPORT DR STE 255
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92408-3428
Country	:	US
Telephone Number	:	909-567-2989
Fax Number	:	909-453-0820

Authorized Official
Title or Position	:	CEO
Name	:	RACHEL N SOTO
Credential	:
Telephone Number	:	909-331-7324

Provider Enumeration Date	:	11/01/2023
Last Update Date	:	11/01/2023

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Directions to “DC3 MEDICAL TRANSPORT SERVICES ” Practice Location

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