Healthcare Provider Details

I. General information

NPI: 1588276539
Provider Name (Legal Business Name): VIP NON EMERGENCY MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 BARSTOW AVE
CLOVIS CA
93612-1970
US

IV. Provider business mailing address

1215 BARSTOW AVE
CLOVIS CA
93612-1970
US

V. Phone/Fax

Practice location:
  • Phone: 559-760-9298
  • Fax:
Mailing address:
  • Phone: 559-760-9298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY LACEFIELD
Title or Position: PRESIDENT
Credential:
Phone: 559-760-9298