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CITICOACH INC. NPI 1417020603


NPI Information

NPI: 1417020603
Provider Name: CITICOACH, INC.

Doing Business As: TRIPWAY SERVICES

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
551 GRAND ST RM 5
NEW YORK, NY
ZIP 10002
Phone: (212) 777-1277
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CITICOACH, INC. is a non emergency medical transport van in New York, NY. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. CITICOACH, INC. NPI is 1417020603. The provider is registered as an organization entity type.
The provider Is Doing Business As Tripway Services.

The provider's business location address is:

551 GRAND ST RM 5
NEW YORK, NY
ZIP 10002-282
Phone: (212) 777-1277

The provider's authorized official is Dmitriy Nemenov .
The authorized official title is President and has the following contact phone number (212) 777-1277.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)B90348NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102622062MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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