Provider Demographics
NPI:1346738101
Name:PRICE TRANSPORTATION SERVICE, INC.
Entity Type:Organization
Organization Name:PRICE TRANSPORTATION SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:850-510-7445
Mailing Address - Street 1:120 GREENLIN VILLA RD
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32327-3133
Mailing Address - Country:US
Mailing Address - Phone:850-510-7445
Mailing Address - Fax:850-926-3697
Practice Address - Street 1:120 GREENLIN VILLA RD
Practice Address - Street 2:
Practice Address - City:CRAWFORDVILLE
Practice Address - State:FL
Practice Address - Zip Code:32327-3133
Practice Address - Country:US
Practice Address - Phone:850-510-7445
Practice Address - Fax:850-926-3697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)