Provider Demographics
NPI:1447482773
Name:DISABLED MEDICAL TRANSPORTATION SERVICES INC.
Entity type:Organization
Organization Name:DISABLED MEDICAL TRANSPORTATION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOKATZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-360-2068
Mailing Address - Street 1:44489 TOWN CENTER WAY
Mailing Address - Street 2:P.M.B. D231
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2723
Mailing Address - Country:US
Mailing Address - Phone:760-360-2068
Mailing Address - Fax:
Practice Address - Street 1:80453 AVENIDA SANTA ALICIA
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-7439
Practice Address - Country:US
Practice Address - Phone:760-360-2068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)