MEDICARE: 1ST CHOICE MEDICAL TRANSPORTATION 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1992945414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CHOICE MEDICAL TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	8305 N 10TH ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2251
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8305 N 10TH ST
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-2251
Country	:	US
Telephone Number	:	559-408-2095
Fax Number	:

Authorized Official
Title or Position	:	C.E.O.
Name	:	MR. AKOP SEMIRDZHYAN
Credential	:
Telephone Number	:	559-408-2095

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	02/23/2009

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