=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497612774
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MATCH2HIRE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2026
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4825 FERNWOOD CT
-----------------------------------------------------
City | FAIRFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94534-6856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-332-7825
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4825 FERNWOOD CT
-----------------------------------------------------
City | FAIRFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94534-6856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 707-332-7825
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | EARL HALL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 707-333-4839
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347C00000X
-----------------------------------------------------
Taxonomy Name | Private Vehicle
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------