Provider Demographics
NPI:1750902987
Name:CHIRON MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:CHIRON MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FABIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-425-9492
Mailing Address - Street 1:261 OLD YORK RD STE 703B
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3735
Mailing Address - Country:US
Mailing Address - Phone:610-572-3939
Mailing Address - Fax:
Practice Address - Street 1:261 OLD YORK RD STE 703B
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3735
Practice Address - Country:US
Practice Address - Phone:610-572-3939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
00OtherN/A