Provider Demographics
NPI:1437761863
Name:STRIPES TRANSPORTATION LLC
Entity Type:Organization
Organization Name:STRIPES TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCEACHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-679-9616
Mailing Address - Street 1:302 TURNER RD STE K
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-6433
Mailing Address - Country:US
Mailing Address - Phone:804-665-8589
Mailing Address - Fax:
Practice Address - Street 1:302 TURNER RD STE K
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-6433
Practice Address - Country:US
Practice Address - Phone:804-665-8589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1528676194OtherNEMT (NON-EMERGENCY MEDICAL TRANSPORT)