Provider Demographics
NPI:1275080145
Name:SAFE TRANS MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:SAFE TRANS MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-255-4121
Mailing Address - Street 1:4400 AMBASSADOR CAFFERY PKWY # 156A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-6760
Mailing Address - Country:US
Mailing Address - Phone:337-347-5719
Mailing Address - Fax:281-242-2701
Practice Address - Street 1:330 ALAMO ST STE 7
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8584
Practice Address - Country:US
Practice Address - Phone:337-602-6410
Practice Address - Fax:281-242-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle