Provider Demographics
NPI:1508429879
Name:MOUNT OLYMPUS ENTERPRISES DBA POSEIDEN TRANSPORTATION L.L.C.
Entity Type:Organization
Organization Name:MOUNT OLYMPUS ENTERPRISES DBA POSEIDEN TRANSPORTATION L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:CREMEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-288-5960
Mailing Address - Street 1:1271 EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-1702
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1271 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-1702
Practice Address - Country:US
Practice Address - Phone:740-577-2536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAT078997-6OtherSTATE CORPORATION COMMISION VIRGINIA