Provider Demographics
NPI:1003417106
Name:MOUNTAIN VIEW SHUTTLE LLC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW SHUTTLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:CLISHAM
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-630-4425
Mailing Address - Street 1:191 SARGENT RD
Mailing Address - Street 2:
Mailing Address - City:HOLDERNESS
Mailing Address - State:NH
Mailing Address - Zip Code:03245-5147
Mailing Address - Country:US
Mailing Address - Phone:603-630-4425
Mailing Address - Fax:
Practice Address - Street 1:191 SARGENT RD
Practice Address - Street 2:
Practice Address - City:HOLDERNESS
Practice Address - State:NH
Practice Address - Zip Code:03245-5147
Practice Address - Country:US
Practice Address - Phone:603-630-4425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)