Healthcare Provider Details

I. General information

NPI: 1538310537
Provider Name (Legal Business Name): ASSISTED MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2008
Last Update Date: 10/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 FOREST VIEW AVE
HILLSBOROUGH CA
94010-6169
US

IV. Provider business mailing address

2141 FOREST VIEW AVE
HILLSBOROUGH CA
94010-6169
US

V. Phone/Fax

Practice location:
  • Phone: 650-464-4477
  • Fax:
Mailing address:
  • Phone: 650-464-4477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHEMA CHRISTINA SHERWIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 650-678-8886