Provider Demographics
NPI:1407405285
Name:KETTERING TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:KETTERING TRANSPORTATION SERVICES LLC
Other - Org Name:KETTERING HEALTH TRANSPORTATION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-762-5934
Mailing Address - Street 1:1050 FORRER BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-1472
Mailing Address - Country:US
Mailing Address - Phone:937-762-5919
Mailing Address - Fax:
Practice Address - Street 1:1516 NICHOLAS RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-6713
Practice Address - Country:US
Practice Address - Phone:937-762-5919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)