Provider Demographics
NPI:1598228546
Name:SKY SHUTTLE INC
Entity Type:Organization
Organization Name:SKY SHUTTLE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:REWATHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:PATHIRATHNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-433-7119
Mailing Address - Street 1:625 ERWIN RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-9532
Mailing Address - Country:US
Mailing Address - Phone:919-599-8100
Mailing Address - Fax:919-967-7190
Practice Address - Street 1:8801 FAST PARK DR STE 301
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-4853
Practice Address - Country:US
Practice Address - Phone:919-599-8100
Practice Address - Fax:919-967-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)