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NPI Code Detail

MEDICARE: NORTHWEST MED. TRANS., INC

MEDICARE: NORTHWEST MED. TRANS., INC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1932426673
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHWEST MED. TRANS., INC
Provider Business Mailing Address
First Line : 417 ARDEN AVE
Second Line : 211
City : GLENDALE
State : CA
Zip : 91203-4045
Country : US
Telephone Number : 818-241-3737
Fax Number : 818-548-2474
Provider Business Practice Location Address
First Line : 417 ARDEN AVE
Second Line : SUITE 211
City : GLENDALE
State : CA
Zip : 91203-4045
Country : US
Telephone Number : 818-241-3737
Fax Number : 818-548-2474
Authorized Official
Title or Position : CEO
Name : MR. OGANES ADAMYAN
Credential :
Telephone Number : 818-241-3737
Provider Enumeration Date : 04/20/2010
Last Update Date : 04/20/2010

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