GERALD THEADORE BLACKMON NPI 1750691994

NPI Information

NPI: 1750691994
Provider Name: GERALD THEADORE BLACKMON
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
1665 S MONTE VERDE DR
BEAUMONT, CA
ZIP 92223
Phone: (951) 663-6995
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Gerald Theadore Blackmon is a non emergency medical transport van in Beaumont, 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. Gerald Theadore Blackmon NPI is 1750691994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1665 S MONTE VERDE DR
BEAUMONT, CA
ZIP 92223-589
Phone: (951) 663-6995
Fax: (951) 769-5513

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)		A7202290	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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