Provider Demographics
NPI:1114607959
Name:WORLD SERVICE TRANSPORT LC
Entity Type:Organization
Organization Name:WORLD SERVICE TRANSPORT LC
Other - Org Name:WORLD SERVICE TRANSPORT LC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMBESA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-952-4998
Mailing Address - Street 1:9535 FOREST LN STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6390
Mailing Address - Country:US
Mailing Address - Phone:270-952-4998
Mailing Address - Fax:
Practice Address - Street 1:9535 FOREST LN STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6390
Practice Address - Country:US
Practice Address - Phone:270-952-4998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-18
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)