Provider Demographics
NPI:1407321474
Name:315 TRANSPORT,LLC
Entity Type:Organization
Organization Name:315 TRANSPORT,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-705-3408
Mailing Address - Street 1:947 STATE HIGHWAY 420
Mailing Address - Street 2:
Mailing Address - City:BRASHER FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13613-4221
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:947 STATE HIGHWAY 420
Practice Address - Street 2:
Practice Address - City:BRASHER FALLS
Practice Address - State:NY
Practice Address - Zip Code:13613-4221
Practice Address - Country:US
Practice Address - Phone:315-514-5995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)