Provider Demographics
NPI:1225881741
Name:YOSTA M TRANSPORTATION LLC
Entity Type:Organization
Organization Name:YOSTA M TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-573-6431
Mailing Address - Street 1:6500 E ABERDENE CT
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-9691
Mailing Address - Country:US
Mailing Address - Phone:603-573-6431
Mailing Address - Fax:
Practice Address - Street 1:6500 E ABERDENE CT
Practice Address - Street 2:
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-9691
Practice Address - Country:US
Practice Address - Phone:603-573-6431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)