Provider Demographics
NPI:1235650110
Name:SPECIALTY TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:SPECIALTY TRANSPORTATION, LLC
Other - Org Name:SPECIALTY TRANSPORTATION, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-426-2742
Mailing Address - Street 1:14507 LAVENHAM LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-1681
Mailing Address - Country:US
Mailing Address - Phone:804-426-2742
Mailing Address - Fax:
Practice Address - Street 1:14507 LAVENHAM LN
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-1681
Practice Address - Country:US
Practice Address - Phone:804-426-2742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)