Provider Demographics
NPI:1053832634
Name:CHOICE TRANSPORTATION INC
Entity Type:Organization
Organization Name:CHOICE TRANSPORTATION INC
Other - Org Name:CHOICE TRANSPORTATION INC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KASSA
Authorized Official - Middle Name:WOLDE
Authorized Official - Last Name:GIORGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-277-7001
Mailing Address - Street 1:1512 SPLIT OAK LN APT C
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5219
Mailing Address - Country:US
Mailing Address - Phone:804-277-7001
Mailing Address - Fax:
Practice Address - Street 1:1512 SPLIT OAK LN APT C
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5219
Practice Address - Country:US
Practice Address - Phone:804-277-7001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)