Provider Demographics
NPI:1003040510
Name:WEST TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:WEST TRANSPORTATION, INC.
Other - Org Name:WEST BUS SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOLYNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-546-2823
Mailing Address - Street 1:79 PIGEON HILL RD
Mailing Address - Street 2:
Mailing Address - City:STEUBEN
Mailing Address - State:ME
Mailing Address - Zip Code:04680-3141
Mailing Address - Country:US
Mailing Address - Phone:207-546-2823
Mailing Address - Fax:207-546-2823
Practice Address - Street 1:79 PIGEON HILL RD
Practice Address - Street 2:
Practice Address - City:STEUBEN
Practice Address - State:ME
Practice Address - Zip Code:04680-3141
Practice Address - Country:US
Practice Address - Phone:207-546-2823
Practice Address - Fax:207-546-2823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDOCKET # 89343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME118570000Medicaid