Provider Demographics
NPI:1447619200
Name:A1 TRANSPORTATION LLC
Entity Type:Organization
Organization Name:A1 TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:CORVELLIS
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:614-592-1205
Mailing Address - Street 1:1680 QUIGLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-3432
Mailing Address - Country:US
Mailing Address - Phone:614-592-1205
Mailing Address - Fax:
Practice Address - Street 1:1680 QUIGLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3432
Practice Address - Country:US
Practice Address - Phone:614-592-1205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)