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

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) Primary 343900000XA7202290 (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.

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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.