Provider Demographics
NPI:1578238697
Name:TINA'S TRANSPORTATION
Entity Type:Organization
Organization Name:TINA'S TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NON-MEDICAL TRANSPORTATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARCHILLE
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-690-5738
Mailing Address - Street 1:3573 W SUTTON DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127-5517
Mailing Address - Country:US
Mailing Address - Phone:901-319-5006
Mailing Address - Fax:
Practice Address - Street 1:3573 W SUTTON DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-5517
Practice Address - Country:US
Practice Address - Phone:901-319-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)