Provider Demographics
NPI:1578043295
Name:B BENTLEY TRANSPORTATION INC.
Entity Type:Organization
Organization Name:B BENTLEY TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:QUALLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-376-6529
Mailing Address - Street 1:641 S HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2729
Mailing Address - Country:US
Mailing Address - Phone:614-237-3473
Mailing Address - Fax:614-237-3473
Practice Address - Street 1:641 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2729
Practice Address - Country:US
Practice Address - Phone:614-237-3473
Practice Address - Fax:614-237-3473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)