Provider Demographics
NPI:1376053835
Name:PRESTIGE TANSPORTATION
Entity Type:Organization
Organization Name:PRESTIGE TANSPORTATION
Other - Org Name:PRESTIGE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRANQUILETA
Authorized Official - Middle Name:TARA
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-344-5386
Mailing Address - Street 1:4307 ERICSON DR APT 3
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-5343
Mailing Address - Country:US
Mailing Address - Phone:719-344-5386
Mailing Address - Fax:
Practice Address - Street 1:4307 ERICSON DR APT 3
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-5343
Practice Address - Country:US
Practice Address - Phone:719-344-5386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)