Provider Demographics
NPI:1215567946
Name:RSB TRANSPORT EXPRESS
Entity Type:Organization
Organization Name:RSB TRANSPORT EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:844-727-8883
Mailing Address - Street 1:2305 185TH PL
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-2620
Mailing Address - Country:US
Mailing Address - Phone:708-368-0550
Mailing Address - Fax:
Practice Address - Street 1:2501 CHATHAM RD # R
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4188
Practice Address - Country:US
Practice Address - Phone:877-727-8883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)