Provider Demographics
NPI:1427371384
Name:MARSHALL TRANSPORTATION,INC.
Entity Type:Organization
Organization Name:MARSHALL TRANSPORTATION,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O./ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-818-7433
Mailing Address - Street 1:3650 SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-4949
Mailing Address - Country:US
Mailing Address - Phone:708-818-7433
Mailing Address - Fax:708-799-7522
Practice Address - Street 1:3650 SCHOOL DR
Practice Address - Street 2:
Practice Address - City:COUNTRY CLUB HILLS
Practice Address - State:IL
Practice Address - Zip Code:60478-4949
Practice Address - Country:US
Practice Address - Phone:708-818-7433
Practice Address - Fax:708-799-7522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)