Provider Demographics
NPI:1366011595
Name:QUEST SHUTTLE SERVICE
Entity Type:Organization
Organization Name:QUEST SHUTTLE SERVICE
Other - Org Name:QUEST SHUTTLE
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-353-2875
Mailing Address - Street 1:2405 PIMPERNEL DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4944
Mailing Address - Country:US
Mailing Address - Phone:240-353-2875
Mailing Address - Fax:
Practice Address - Street 1:91 RUCKER DR
Practice Address - Street 2:
Practice Address - City:RUCKERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22968-9527
Practice Address - Country:US
Practice Address - Phone:240-353-2875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)