Provider Demographics
NPI:1467801001
Name:LOGANS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:LOGANS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:BASKERVILLE
Authorized Official - Last Name:LOGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-757-1300
Mailing Address - Street 1:94 HILLCREST CT
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:VA
Mailing Address - Zip Code:23950-1751
Mailing Address - Country:US
Mailing Address - Phone:434-757-1300
Mailing Address - Fax:434-757-1065
Practice Address - Street 1:94 HILLCREST CT
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:VA
Practice Address - Zip Code:23950-1751
Practice Address - Country:US
Practice Address - Phone:434-757-1300
Practice Address - Fax:434-757-1065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)