Provider Demographics
NPI:1568425007
Name:ACTION DELIVERY SERVICE INC.
Entity Type:Organization
Organization Name:ACTION DELIVERY SERVICE INC.
Other - Org Name:MEDICAL TRANSPORTATION SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-324-3286
Mailing Address - Street 1:2431 GREENUP AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7850
Mailing Address - Country:US
Mailing Address - Phone:606-324-3286
Mailing Address - Fax:606-324-4137
Practice Address - Street 1:2431 GREENUP AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7850
Practice Address - Country:US
Practice Address - Phone:606-324-3286
Practice Address - Fax:606-324-4137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY20223416L0300X
KY16533416L0300X
KY16223416L0300X
KY30113416L0300X
OH4400623416L0300X
WV0206073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY56004989Medicaid
KY55540363Medicaid
WV0145132000Medicaid
OH0824317Medicaid
KY8036401Medicare ID - Type Unspecified