Covenant Medical Transportation Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

34390000X Issued in CA

Legal business name

COVENANT MEDICAL TRANSPORTATION INC

Practice address

1400 E Cooley Dr
207
Colton, CA 92324-3939

Phone

(909) 498-4087

Fax

(760) 514-9043

NPI assigned

Oct 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Jim-George, B.SC

Title

President

Phone

(951) 662-5504

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1184950065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E COOLEY DR",
            "address_2": "207",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243939",
            "telephone_number": "909-498-4087",
            "fax_number": "760-514-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E COOLEY DR",
            "address_2": "207",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243939",
            "telephone_number": "909-498-4087",
            "fax_number": "760-514-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "JIM-GEORGE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-662-5504",
        "authorized_official_credential": "B.SC"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "34390000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of San Bernardino
• County of San Bernardino
• County of San Bernardino
• County of San Bernardino
• Covenant Counseling
• Emily Covington, NP
• Mark Ralph Cox, MFT
• Cindy Cozart
• Robert Crane
• Gregory Crayton

• Non-emergency Medical Transport (VAN) in Colton, CA
• Providers in Colton, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.