Provider Demographics
NPI:1437480340
Name:SUPERIOR TRANSPORTATION
Entity Type:Organization
Organization Name:SUPERIOR TRANSPORTATION
Other - Org Name:RACHIEL JOE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RACHIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-972-7118
Mailing Address - Street 1:4670 COTTON ACRES RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29153-8253
Mailing Address - Country:US
Mailing Address - Phone:803-972-7118
Mailing Address - Fax:
Practice Address - Street 1:4670 COTTON ACRES RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29153-8253
Practice Address - Country:US
Practice Address - Phone:803-972-7118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)