Provider Demographics
NPI:1285009241
Name:MD TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MD TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCKEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-586-1352
Mailing Address - Street 1:13126 PENNSYLVANIA AVE
Mailing Address - Street 2:103
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2755
Mailing Address - Country:US
Mailing Address - Phone:240-586-1352
Mailing Address - Fax:
Practice Address - Street 1:13126 PENNSYLVANIA AVE
Practice Address - Street 2:103
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2755
Practice Address - Country:US
Practice Address - Phone:240-586-1352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDXX-XXX3218OtherEIN