Individual provider · Type 1 NPI
Gerald Theadore Blackmon Iii
Non-emergency Medical Transport (VAN) · Beaumont, CA
NPI number
1750691994
Active
Practice location
1665 S Monte Verde Dr
Beaumont, CA 92223-8589
Fax (951) 769-5513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) Primary | 343900000X | A7202290 (CA) |
Non-emergency Medical Transport (VAN): 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.
Another provider at this address
Other non-emergency medical transport (van) providers in Beaumont
About NPI 1750691994
Gerald Theadore Blackmon Iii's National Provider Identifier is 1750691994, issued on Oct 20, 2010. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Beaumont, CA. The record was last updated on Oct 20, 2010.