Provider Demographics
NPI:1043827983
Name:STAR TRIP TRANSPORTATION LLC
Entity Type:Organization
Organization Name:STAR TRIP TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DENEENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-435-7647
Mailing Address - Street 1:370 NEFF AVE UNIT O
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3438
Mailing Address - Country:US
Mailing Address - Phone:540-435-7647
Mailing Address - Fax:
Practice Address - Street 1:370 NEFF AVE STE P
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3246
Practice Address - Country:US
Practice Address - Phone:540-435-7647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)