Provider Demographics
NPI:1376003210
Name:A-1 TRANSPORTATION & SHUTTLE SERVICES LLC
Entity Type:Organization
Organization Name:A-1 TRANSPORTATION & SHUTTLE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:850-603-8532
Mailing Address - Street 1:373 BROWN PL
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-5768
Mailing Address - Country:US
Mailing Address - Phone:850-603-8532
Mailing Address - Fax:
Practice Address - Street 1:1000 PATRIOT LN APT 120
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-7404
Practice Address - Country:US
Practice Address - Phone:850-603-8532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)