Provider Demographics
NPI:1578220539
Name:SANFORD SAFE TRANSIT
Entity Type:Organization
Organization Name:SANFORD SAFE TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-368-7476
Mailing Address - Street 1:2820 BRADY ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-8108
Mailing Address - Country:US
Mailing Address - Phone:225-368-7476
Mailing Address - Fax:
Practice Address - Street 1:2820 BRADY ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-8108
Practice Address - Country:US
Practice Address - Phone:225-368-7476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
5Other5