Provider Demographics
NPI:1548574676
Name:ADVANTAGE MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:ADVANTAGE MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTSOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-543-2902
Mailing Address - Street 1:271 HANOVERIAN DR
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-7308
Mailing Address - Country:US
Mailing Address - Phone:951-543-2902
Mailing Address - Fax:951-808-8730
Practice Address - Street 1:1301 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SAN JACINTO
Practice Address - State:CA
Practice Address - Zip Code:92583-4637
Practice Address - Country:US
Practice Address - Phone:951-543-2902
Practice Address - Fax:951-808-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)