MEDICARE: CSE MEDICAL TRANSPORT LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1689347767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CSE MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	1601 NEW STINE RD STE 120
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-3698
Country	:	US
Telephone Number	:	661-932-2218
Fax Number	:	661-932-0011

Provider Business Practice Location Address
First Line	:	1601 NEW STINE RD STE 120
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-3698
Country	:	US
Telephone Number	:	661-932-2218
Fax Number	:	661-932-0011

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	MARIA C ALMAREZ
Credential	:	RN
Telephone Number	:	661-332-0318

Provider Enumeration Date	:	07/26/2021
Last Update Date	:	07/26/2021

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