Healthcare Provider Details

I. General information

NPI: 1386709798
Provider Name (Legal Business Name): RIVER CITY TRANSPORTATION SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8155 DERBYSHIRE CIRCLE
SACRAMENTO CA
95828
US

IV. Provider business mailing address

8155 DERBYSHIRE CIRCLE
SACRAMENTO CA
95828
US

V. Phone/Fax

Practice location:
  • Phone: 916-688-7813
  • Fax: 916-688-7809
Mailing address:
  • Phone: 916-688-7813
  • Fax: 916-688-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number327369
License Number StateCA

VIII. Authorized Official

Name: MR. BURLE DIXON
Title or Position: OWNER
Credential:
Phone: 916-688-7813