Provider Demographics
NPI:1245746080
Name:MEDICAL SERVICE TRANSPORT LLC
Entity Type:Organization
Organization Name:MEDICAL SERVICE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:INGLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-937-5888
Mailing Address - Street 1:3701 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97404-1339
Mailing Address - Country:US
Mailing Address - Phone:541-937-5888
Mailing Address - Fax:
Practice Address - Street 1:3701 SCENIC DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-1339
Practice Address - Country:US
Practice Address - Phone:541-937-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome Health
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle