Provider Demographics
NPI:1235689746
Name:OASIS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:OASIS TRANSPORTATION LLC
Other - Org Name:OASIS MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:815-922-0913
Mailing Address - Street 1:761 MAIN STREET NORTHWEST
Mailing Address - Street 2:SUITE A
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914
Mailing Address - Country:US
Mailing Address - Phone:815-935-4663
Mailing Address - Fax:815-935-4660
Practice Address - Street 1:761 MAIN STREET NORTHWEST
Practice Address - Street 2:SUITE A
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914
Practice Address - Country:US
Practice Address - Phone:815-935-4663
Practice Address - Fax:815-935-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL7558952343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208445156002Medicaid