Provider Demographics
NPI:1508500786
Name:SMITH TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:SMITH TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-886-8070
Mailing Address - Street 1:1265 N CAPITOL AVE APT 90
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2546
Mailing Address - Country:US
Mailing Address - Phone:408-886-8070
Mailing Address - Fax:
Practice Address - Street 1:1265 N CAPITOL AVE APT 90
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2546
Practice Address - Country:US
Practice Address - Phone:408-886-8070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)