Provider Demographics
NPI:1558730531
Name:LONGONOT TRANSPORTATION INC
Entity Type:Organization
Organization Name:LONGONOT TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:NJUGUNA
Authorized Official - Last Name:TERESIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-233-8039
Mailing Address - Street 1:49 BISSELL ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01119-1475
Mailing Address - Country:US
Mailing Address - Phone:413-233-8039
Mailing Address - Fax:
Practice Address - Street 1:49 BISSELL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01119-1475
Practice Address - Country:US
Practice Address - Phone:413-233-8039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)