Provider Demographics
NPI:1558766212
Name:B M TRANSPORTATION ATL LLC
Entity Type:Organization
Organization Name:B M TRANSPORTATION ATL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCNAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-459-0990
Mailing Address - Street 1:500 E 33RD ST
Mailing Address - Street 2:UNIT 1115
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-4056
Mailing Address - Country:US
Mailing Address - Phone:773-459-0990
Mailing Address - Fax:
Practice Address - Street 1:1648 FERNSTONE DR NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-3573
Practice Address - Country:US
Practice Address - Phone:773-459-0990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)