Provider Demographics
NPI:1558973339
Name:SOLOMON VALLEY TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:SOLOMON VALLEY TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:EILERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-738-9501
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-0412
Mailing Address - Country:US
Mailing Address - Phone:785-738-9501
Mailing Address - Fax:785-738-9503
Practice Address - Street 1:400 W 8TH ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-1605
Practice Address - Country:US
Practice Address - Phone:785-738-9501
Practice Address - Fax:785-738-9503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)