Provider Demographics
NPI:1538656590
Name:PAPUGA TRANSPORTATION INC
Entity Type:Organization
Organization Name:PAPUGA TRANSPORTATION INC
Other - Org Name:PAPUGA TRANSPORTATION, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-978-2717
Mailing Address - Street 1:5924 RAUP RD
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48383-1163
Mailing Address - Country:US
Mailing Address - Phone:248-978-2717
Mailing Address - Fax:248-529-3802
Practice Address - Street 1:5924 RAUP RD
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48383
Practice Address - Country:US
Practice Address - Phone:248-978-2717
Practice Address - Fax:248-529-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIN153992343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)