Provider Demographics
NPI:1558706929
Name:MID-OHIO VALLEY TRANSIT AUTHORITY
Entity Type:Organization
Organization Name:MID-OHIO VALLEY TRANSIT AUTHORITY
Other - Org Name:EASY RIDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-422-4100
Mailing Address - Street 1:520 JULIANA ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-5160
Mailing Address - Country:US
Mailing Address - Phone:304-422-4100
Mailing Address - Fax:304-422-3200
Practice Address - Street 1:520 JULIANA ST
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-5160
Practice Address - Country:US
Practice Address - Phone:304-422-4100
Practice Address - Fax:304-422-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1036-3436347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus