Provider Demographics
NPI:1437227998
Name:BI-STATE DEVELOPMENT AGENCY
Entity Type:Organization
Organization Name:BI-STATE DEVELOPMENT AGENCY
Other - Org Name:METRO-TMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF TMA SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:EVALYN
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-982-1505
Mailing Address - Street 1:707 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63102-2552
Mailing Address - Country:US
Mailing Address - Phone:314-982-1505
Mailing Address - Fax:314-923-3038
Practice Address - Street 1:707 N 1ST ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63102-2552
Practice Address - Country:US
Practice Address - Phone:314-982-1505
Practice Address - Fax:314-923-3038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker