Provider Demographics
NPI:1104008044
Name:A-C TRANSPORTATION SERVICES INC.
Entity Type:Organization
Organization Name:A-C TRANSPORTATION SERVICES INC.
Other - Org Name:A-C TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:TAY
Authorized Official - Last Name:KROH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-636-0805
Mailing Address - Street 1:1243 LOTUS CT
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-5918
Mailing Address - Country:US
Mailing Address - Phone:707-636-0805
Mailing Address - Fax:
Practice Address - Street 1:1243 LOTUS CT
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-5918
Practice Address - Country:US
Practice Address - Phone:707-636-0805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAN7211004343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi