Provider Demographics
NPI:1295386944
Name:HEARTLAND TRANSIT INC
Entity Type:Organization
Organization Name:HEARTLAND TRANSIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:V
Authorized Official - Last Name:INES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-236-9411
Mailing Address - Street 1:3160 N STATE HIGHWAY 97
Mailing Address - Street 2:
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-8336
Mailing Address - Country:US
Mailing Address - Phone:918-236-9411
Mailing Address - Fax:918-600-1661
Practice Address - Street 1:3160 N STATE HIGHWAY 97
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-8336
Practice Address - Country:US
Practice Address - Phone:918-236-9411
Practice Address - Fax:918-600-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty