Provider Demographics
NPI:1477090645
Name:TRANSPRO LLC
Entity Type:Organization
Organization Name:TRANSPRO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLACK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:316-833-2220
Mailing Address - Street 1:1429 N BROKEN ARROW RD
Mailing Address - Street 2:
Mailing Address - City:PECK
Mailing Address - State:KS
Mailing Address - Zip Code:67120-9057
Mailing Address - Country:US
Mailing Address - Phone:316-833-2220
Mailing Address - Fax:
Practice Address - Street 1:1208 SE LOUIS DR
Practice Address - Street 2:
Practice Address - City:MULVANE
Practice Address - State:KS
Practice Address - Zip Code:67110-1113
Practice Address - Country:US
Practice Address - Phone:316-260-3441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-26
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)