Provider Demographics
NPI:1093597072
Name:P&H TRANSPORTATION LLC
Entity Type:Organization
Organization Name:P&H TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:PARIS
Authorized Official - Middle Name:ASRAT
Authorized Official - Last Name:FANTAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-276-5679
Mailing Address - Street 1:708 N RIPLEY ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2718
Mailing Address - Country:US
Mailing Address - Phone:571-276-5679
Mailing Address - Fax:
Practice Address - Street 1:708 N RIPLEY ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-2718
Practice Address - Country:US
Practice Address - Phone:571-276-5679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)