Provider Demographics
NPI:1538490289
Name:FLEETWOOD TRANSPORTATION INC.
Entity Type:Organization
Organization Name:FLEETWOOD TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-491-6261
Mailing Address - Street 1:10677 WIDMER RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2000
Mailing Address - Country:US
Mailing Address - Phone:913-486-0999
Mailing Address - Fax:913-491-6280
Practice Address - Street 1:10677 WIDMER RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2000
Practice Address - Country:US
Practice Address - Phone:913-486-0999
Practice Address - Fax:913-491-6280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport