MEDICARE: DEDICATED NON-EMERGENCY TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	344600000X	Taxi
2	347B00000X	Bus
3	347C00000X	Private Vehicle
4	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063223360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEDICATED NON-EMERGENCY TRANSPORTATION

Provider Business Mailing Address
First Line	:	10004 POCOHONTAS LN
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-4606
Country	:	US
Telephone Number	:	661-742-3407
Fax Number	:

Provider Business Practice Location Address
First Line	:	10004 POCOHONTAS LN
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-4606
Country	:	US
Telephone Number	:	661-742-3407
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DANA MARIE SOTO
Credential	:
Telephone Number	:	661-742-3407

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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