Provider Demographics
NPI:1568848935
Name:MEHERRIN TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MEHERRIN TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOWLKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-736-8528
Mailing Address - Street 1:1492 SPRINGFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MEHERRIN
Mailing Address - State:VA
Mailing Address - Zip Code:23954-2222
Mailing Address - Country:US
Mailing Address - Phone:434-736-8528
Mailing Address - Fax:434-736-8602
Practice Address - Street 1:1492 SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:MEHERRIN
Practice Address - State:VA
Practice Address - Zip Code:23954-2222
Practice Address - Country:US
Practice Address - Phone:434-736-8528
Practice Address - Fax:434-736-8602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS347846-0343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)