Organization Name: | FALCON CRITICAL CARE TRANSPORT |
NPI Number: | 1598773624 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN MICHAEL JOHNSON (VICE PRESIDENT) |
Mailing Address: | 3508 San Pablo Dam Rd El Sobrante |
State: | CA US |
Postal Code: | 948032728 |
Phone Number: | 5102231171 |
Fax Number: | 5102231172 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |