Provider Demographics
NPI:1568234797
Name:CLAN LOGISTICS LLC
Entity Type:Organization
Organization Name:CLAN LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:229-308-4239
Mailing Address - Street 1:377 VILLA NOVA ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CUTHBERT
Mailing Address - State:GA
Mailing Address - Zip Code:39840-6227
Mailing Address - Country:US
Mailing Address - Phone:229-308-4239
Mailing Address - Fax:
Practice Address - Street 1:377 VILLA NOVA ST STE 1
Practice Address - Street 2:
Practice Address - City:CUTHBERT
Practice Address - State:GA
Practice Address - Zip Code:39840-6227
Practice Address - Country:US
Practice Address - Phone:229-308-4239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)