ADOLESCENT ESCORT SERVICE NPI 1851711477

NPI Information

NPI: 1851711477
Provider Name: ADOLESCENT ESCORT SERVICE
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
1865 S CANTLE CIR
WASHINGTON, UT
ZIP 84780
Phone: (435) 701-6984
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ADOLESCENT ESCORT SERVICE is a private vehicle in Washington, UT. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. ADOLESCENT ESCORT SERVICE NPI is 1851711477. The provider is registered as an organization entity type.

The provider's business location address is:

1865 S CANTLE CIR
WASHINGTON, UT
ZIP 84780-121
Phone: (435) 701-6984

The provider's authorized official is Ian Gerritsen .
The authorized official title is Owner and has the following contact phone number (435) 701-6984.

The enumeration date for this NPI number is 4/22/2014 and was last updated on 4/22/2014.

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	347C00000X	Private Vehicle		1796	UTAH	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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