Provider Demographics
NPI:1164289823
Name:BLUE EAGLE LOGISTICS INC
Entity Type:Organization
Organization Name:BLUE EAGLE LOGISTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOOTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-779-8800
Mailing Address - Street 1:10800 LINCOLN TRL STE FAIRVIEW
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62208-2022
Mailing Address - Country:US
Mailing Address - Phone:855-779-8800
Mailing Address - Fax:
Practice Address - Street 1:10800 LINCOLN TRL STE 7
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-2021
Practice Address - Country:US
Practice Address - Phone:855-779-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)