MCN Transportation Service

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

MCN TRANSPORTATION SERVICE

Practice address

934 Craven Dr
Suisun City, CA 94585-3725

Phone

(415) 696-9199

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Terrance Otis

Title

Owner

Phone

(415) 696-9199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1629723937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 CRAVEN DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945853725",
            "telephone_number": "415-696-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CRAVEN DR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945853725",
            "telephone_number": "415-696-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCN TRANSPORTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "OTIS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-696-9199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Suisun City, CA
• Providers in Suisun City, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.