MEDICARE: SAMS TRANSPORTATION LLC

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	:	1841682960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMS TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	12170 HERDAL DR
Second Line	:	# 7
City	:	AUBURN
State	:	CA
Zip	:	95603-5637
Country	:	US
Telephone Number	:	530-401-0444
Fax Number	:	530-852-4788

Provider Business Practice Location Address
First Line	:	12170 HERDAL DR
Second Line	:	# 7
City	:	AUBURN
State	:	CA
Zip	:	95603-5637
Country	:	US
Telephone Number	:	530-401-0444
Fax Number	:	530-852-4788

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SAMUEL R MUNOZ III
Credential	:
Telephone Number	:	530-401-0444

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	09/29/2015

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Directions to “SAMS TRANSPORTATION LLC ” Practice Location

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