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CEDAR RIDGE TRANSPORTATION LLC NPI 1942077656


NPI Information

NPI: 1942077656
Provider Name: CEDAR RIDGE TRANSPORTATION LLC

Doing Business As: LIFELINE MEDICAL TRANSPORTATION

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization

CLIA Number: 45D2297373

Address:
115 E DAVIS ST STE B
DUNCANVILLE, TX
ZIP 75116
Phone: (469) 236-1987
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CEDAR RIDGE TRANSPORTATION LLC is a non emergency medical transport van in Duncanville, TX. 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. CEDAR RIDGE TRANSPORTATION LLC NPI is 1942077656. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline Medical Transportation.

The provider's business location address is:

115 E DAVIS ST STE B
DUNCANVILLE, TX
ZIP 75116-642
Phone: (469) 236-1987

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The CLIA number assigned to this NPI record is 45D2297373 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2023 and was last updated on 12/4/2023.


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
1343900000XNon-emergency Medical Transport (VAN)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: 5/5/2024

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