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MID-CITIES MEDICAL TRANSPORT NPI 1700136405


NPI Information

NPI: 1700136405
Provider Name: MID-CITIES MEDICAL TRANSPORT

Other Name: C.V. MANIMBO ENTERPRISES INC.

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1325 N RED GUM ST
# 14
ANAHEIM, CA
ZIP 92806
Phone: (714) 238-9005
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MID-CITIES MEDICAL TRANSPORT is a non emergency medical transport van in Anaheim, CA. 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. MID-CITIES MEDICAL TRANSPORT NPI is 1700136405. The provider is registered as an organization entity type.
The provider Other Name Is C.v. Manimbo Enterprises Inc..

The provider's business location address is:

1325 N RED GUM ST
# 14
ANAHEIM, CA
ZIP 92806-326
Phone: (714) 238-9005
Fax: (714) 238-9085

The provider's authorized official is Conrado Villasenor Manimbo .
The authorized official title is Operation Manager and has the following contact phone number (714) 238-9005.

The enumeration date for this NPI number is 9/11/2012 and was last updated on 9/11/2012.


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)Yes

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
1MTN01213FMEDICAIDCALIFORNIA

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: 11/14/2023

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