Provider Demographics
NPI:1083892947
Name:DARS TRANSPORTATION
Entity Type:Organization
Organization Name:DARS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEDRA
Authorized Official - Middle Name:DAWNIELLE
Authorized Official - Last Name:HURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-575-9754
Mailing Address - Street 1:1586 W KAMA DR
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-8664
Mailing Address - Country:US
Mailing Address - Phone:219-575-9754
Mailing Address - Fax:219-362-6469
Practice Address - Street 1:1586 W KAMA DR
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-8664
Practice Address - Country:US
Practice Address - Phone:219-575-9754
Practice Address - Fax:219-362-6469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-03
Last Update Date:2008-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN64123343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)