Provider Demographics
NPI:1083385280
Name:OXFORD TRANSPORTATION INC
Entity Type:Organization
Organization Name:OXFORD TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-305-8045
Mailing Address - Street 1:510 CENTRAL DR APT 911
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-5856
Mailing Address - Country:US
Mailing Address - Phone:423-305-8045
Mailing Address - Fax:
Practice Address - Street 1:510 CENTRAL DR APT 911
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-5856
Practice Address - Country:US
Practice Address - Phone:423-305-8045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN001241764OtherTN BUSINESS SERVICE CONTROL NUMBER