Provider Demographics
NPI:1083334379
Name:HAYNES-WAY TRANSPORTATION
Entity Type:Organization
Organization Name:HAYNES-WAY TRANSPORTATION
Other - Org Name:HAYNES-WAY EN ROUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-232-9152
Mailing Address - Street 1:1430 JULIE ST
Mailing Address - Street 2:
Mailing Address - City:SEAGOVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75159-5310
Mailing Address - Country:US
Mailing Address - Phone:972-232-9152
Mailing Address - Fax:972-514-3256
Practice Address - Street 1:1430 JULIE ST
Practice Address - Street 2:
Practice Address - City:SEAGOVILLE
Practice Address - State:TX
Practice Address - Zip Code:75159-5310
Practice Address - Country:US
Practice Address - Phone:972-232-9152
Practice Address - Fax:972-514-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle