Provider Demographics
NPI:1518655455
Name:PATRIOT HEALTH TRANSPORT, LLC
Entity Type:Organization
Organization Name:PATRIOT HEALTH TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODINGS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PARAMEDIC
Authorized Official - Phone:405-320-5002
Mailing Address - Street 1:2704 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-6310
Mailing Address - Country:US
Mailing Address - Phone:405-320-5002
Mailing Address - Fax:405-320-5003
Practice Address - Street 1:2704 S 18TH ST
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-6310
Practice Address - Country:US
Practice Address - Phone:405-320-5002
Practice Address - Fax:405-320-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)