Provider Demographics
NPI:1144642943
Name:AMAZING TRANSPORTATION SERVICES INC
Entity type:Organization
Organization Name:AMAZING TRANSPORTATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-241-0784
Mailing Address - Street 1:12127 MALL BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-7665
Mailing Address - Country:US
Mailing Address - Phone:760-241-0784
Mailing Address - Fax:760-241-5974
Practice Address - Street 1:15431 ANACAPA RD
Practice Address - Street 2:SUITE F
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2458
Practice Address - Country:US
Practice Address - Phone:760-241-0784
Practice Address - Fax:760-241-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)