Provider Demographics
NPI:1013201243
Name:TRIPLE E TRANSPORTATION
Entity Type:Organization
Organization Name:TRIPLE E TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:R
Authorized Official - Last Name:BARKHURST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-507-1009
Mailing Address - Street 1:6991 N STATE ROAD 213
Mailing Address - Street 2:
Mailing Address - City:WINDFALL
Mailing Address - State:IN
Mailing Address - Zip Code:46076-9785
Mailing Address - Country:US
Mailing Address - Phone:765-507-1009
Mailing Address - Fax:185-582-3343
Practice Address - Street 1:6991 N STATE ROAD 213
Practice Address - Street 2:
Practice Address - City:WINDFALL
Practice Address - State:IN
Practice Address - Zip Code:46076-9785
Practice Address - Country:US
Practice Address - Phone:765-507-1009
Practice Address - Fax:185-582-3343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87153343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)