Healthcare Provider Details

I. General information

NPI: 1558043166
Provider Name (Legal Business Name): HEALTHMED TRANSPORT L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E FRESNO ST
DINUBA CA
93618-1904
US

IV. Provider business mailing address

520 E FRESNO ST
DINUBA CA
93618-1904
US

V. Phone/Fax

Practice location:
  • Phone: 559-754-6837
  • Fax:
Mailing address:
  • Phone: 559-754-6837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MR. ALLEN A CIFUENTES
Title or Position: MANAGER
Credential:
Phone: 559-754-6837