Provider Demographics
NPI:1174194468
Name:BRYANT HALO TRANSPORTATION
Entity Type:Organization
Organization Name:BRYANT HALO TRANSPORTATION
Other - Org Name:BRYANT HALO TRANSPORTATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TISHA
Authorized Official - Middle Name:LASHAWN
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-402-0226
Mailing Address - Street 1:20 GAGE LN
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-8000
Mailing Address - Country:US
Mailing Address - Phone:919-810-1038
Mailing Address - Fax:
Practice Address - Street 1:20 GAGE LN
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-8000
Practice Address - Country:US
Practice Address - Phone:919-810-1038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus