Fairway Transportation, Inc

Primary specialty

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

License

MTN01027F Issued in CA

Legal business name

FAIRWAY TRANSPORTATION, INC

Practice address

33 Maxwell St
Lodi, CA 95240-6320

Phone

(209) 333-7800

Fax

(209) 333-7887

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Perry D. Schimke

Title

Ceo

Phone

(209) 339-7044

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medi-Van Doing business as

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699846014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "WOODBRIDGE",
            "state": "CA",
            "postal_code": "952580746",
            "telephone_number": "209-333-7800",
            "fax_number": "209-369-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAXWELL ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406320",
            "telephone_number": "209-333-7800",
            "fax_number": "209-333-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHIMKE",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-339-7044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01027F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01027F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Van",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gordon Thomas Fahey Jr., MD
• Fairmont Dermatology Medical Associates Inc
• Fairmont Pharmacy
• Fairmont Pharmacy
• Fairmont Pharmacy
• Family Urgent Care
• Alma Reyna Farias Valdez
• Matthew Joseph Fava, PSY.D, MFT
• Pushtana Fazli
• Matthew Featherlin

• Non-emergency Medical Transport (VAN) in Lodi, CA
• Providers in Lodi, 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 Aug 22, 2020; 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.