Provider Demographics
NPI:1093291460
Name:DUNKLIN COUNTY TRANSIT SERVICE, INC.
Entity Type:Organization
Organization Name:DUNKLIN COUNTY TRANSIT SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-276-5806
Mailing Address - Street 1:610 N DOUGLASS ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MO
Mailing Address - Zip Code:63863-1508
Mailing Address - Country:US
Mailing Address - Phone:573-276-5806
Mailing Address - Fax:573-276-5579
Practice Address - Street 1:610 N DOUGLASS ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MO
Practice Address - Zip Code:63863-1508
Practice Address - Country:US
Practice Address - Phone:573-276-5806
Practice Address - Fax:573-276-5579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)