Provider Demographics
NPI:1144431115
Name:COMMUNITY TRANSIT OF DELAWARE COUNTY
Entity type:Organization
Organization Name:COMMUNITY TRANSIT OF DELAWARE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKNIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-490-3977
Mailing Address - Street 1:206 EDDYSTONE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EDDYSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1514
Mailing Address - Country:US
Mailing Address - Phone:610-490-3977
Mailing Address - Fax:610-490-3991
Practice Address - Street 1:206 EDDYSTONE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:EDDYSTONE
Practice Address - State:PA
Practice Address - Zip Code:19022-1514
Practice Address - Country:US
Practice Address - Phone:610-490-3977
Practice Address - Fax:610-490-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAA104436343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006475300004Medicaid
PA1006475300002Medicaid