Provider Demographics
NPI:1073055604
Name:TRIPLE A TRANSPORTATION AND LOGISTICS
Entity Type:Organization
Organization Name:TRIPLE A TRANSPORTATION AND LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-459-0161
Mailing Address - Street 1:7137 WINDY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-9264
Mailing Address - Country:US
Mailing Address - Phone:917-459-0161
Mailing Address - Fax:
Practice Address - Street 1:7137 WINDY CREEK CIR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-9264
Practice Address - Country:US
Practice Address - Phone:917-459-0161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)