Provider Demographics
NPI:1225711245
Name:STAR-BIS TRANSPORT LLC
Entity Type:Organization
Organization Name:STAR-BIS TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:WEEDOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-562-5542
Mailing Address - Street 1:203 E ARBOR AVE
Mailing Address - Street 2:
Mailing Address - City:BIRMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58404
Mailing Address - Country:US
Mailing Address - Phone:302-562-5542
Mailing Address - Fax:
Practice Address - Street 1:203 E ARBOR AVE
Practice Address - Street 2:
Practice Address - City:BIRMARCK
Practice Address - State:ND
Practice Address - Zip Code:58404
Practice Address - Country:US
Practice Address - Phone:302-562-5542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)