=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811173123
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HALL CRITICAL CARE TRANSPORT SERVICE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2008
-----------------------------------------------------
Last Update Date | 01/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1001 21ST ST
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-4708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-322-8741
-----------------------------------------------------
Fax | 661-322-4303
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1001 21ST ST
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-4708
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-322-8741
-----------------------------------------------------
Fax | 661-322-4303
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER, PRESIDENT
-----------------------------------------------------
Name | MR. HARVEY L. HALL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 66132208741
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3416A0800X
-----------------------------------------------------
Taxonomy Name | Air Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------