Provider Demographics
NPI:1427565142
Name:DAWSON EMPLOYMENT TRANSPORTATION SERVICE LLC
Entity Type:Organization
Organization Name:DAWSON EMPLOYMENT TRANSPORTATION SERVICE LLC
Other - Org Name:DES TRANSIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-763-0133
Mailing Address - Street 1:617 E SAWYER ST
Mailing Address - Street 2:
Mailing Address - City:BLYTHEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72315-4631
Mailing Address - Country:US
Mailing Address - Phone:870-763-0133
Mailing Address - Fax:
Practice Address - Street 1:617 E SAWYER ST
Practice Address - Street 2:
Practice Address - City:BLYTHEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72315-4631
Practice Address - Country:US
Practice Address - Phone:870-763-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0078800343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)