Provider Demographics
NPI:1033609839
Name:COLES COUNTY TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:COLES COUNTY TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-345-2941
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:IL
Mailing Address - Zip Code:61920-0251
Mailing Address - Country:US
Mailing Address - Phone:217-345-2941
Mailing Address - Fax:217-345-7122
Practice Address - Street 1:655 W LINCOLN AVE STE 4
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:IL
Practice Address - Zip Code:61920-2461
Practice Address - Country:US
Practice Address - Phone:217-345-2941
Practice Address - Fax:217-345-7122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi