Provider Demographics
NPI:1447024229
Name:PEARL CITY TRANSPORTATION & DISPATCHING LLC
Entity type:Organization
Organization Name:PEARL CITY TRANSPORTATION & DISPATCHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:REFUGIO
Authorized Official - Last Name:BELTRAN-DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-316-4715
Mailing Address - Street 1:601 MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-5236
Mailing Address - Country:US
Mailing Address - Phone:563-316-4715
Mailing Address - Fax:
Practice Address - Street 1:601 MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-5236
Practice Address - Country:US
Practice Address - Phone:563-316-4715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)