Provider Demographics
NPI:1033345814
Name:1ST CHOICE TRANSPORTATION, INC
Entity Type:Organization
Organization Name:1ST CHOICE TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-691-2476
Mailing Address - Street 1:PO BOX 29592
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-0592
Mailing Address - Country:US
Mailing Address - Phone:773-691-2476
Mailing Address - Fax:773-789-2616
Practice Address - Street 1:6524 S FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-1708
Practice Address - Country:US
Practice Address - Phone:773-691-2476
Practice Address - Fax:773-789-2616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-06
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)