Holly Springs Medical Transport Inc.

Primary specialty

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

License

C3198175 Issued in CA

Legal business name

HOLLY SPRINGS MEDICAL TRANSPORT INC.

Practice address

29027 Alicante Ave
Moreno Valley, CA 92555-7301

Phone

(951) 530-1334

Fax

(951) 443-5248

NPI assigned

May 25, 2009

Organization subpart

No

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

Authorized official

Name

Surulayo Huntar

Title

President

Phone

(951) 530-1334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243209600000",
    "number": "1851526545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29027 ALICANTE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925557301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29027 ALICANTE AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925557301",
            "telephone_number": "951-530-1334",
            "fax_number": "951-443-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY SPRINGS MEDICAL TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-05-25",
        "status": "A",
        "authorized_official_last_name": "HUNTAR",
        "authorized_official_first_name": "SURULAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-530-1334"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "C3198175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Ramona Hodges
• Emily Hoeppner
• Patrick Lenord Hogue, FNP-BC, DNP
• John Reynolds Holcomb, O.D.
• Chaka Holland
• Dolores Holmes
• Rochelle Nicole Holmes, LPT
• Sunny Hompal
• Diane Luu Hong, PHARM.D.
• Joyce Hong

• Non-emergency Medical Transport (VAN) in Moreno Valley, CA
• Providers in Moreno Valley, 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 May 25, 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.