Provider Demographics
NPI:1598278327
Name:ROSE HILL TRANSPORTATION
Entity Type:Organization
Organization Name:ROSE HILL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-404-7498
Mailing Address - Street 1:6138 HIGHWAY 48 E
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:MS
Mailing Address - Zip Code:39652-4101
Mailing Address - Country:US
Mailing Address - Phone:601-783-6410
Mailing Address - Fax:601-783-6470
Practice Address - Street 1:6138 HIGHWAY 48 E
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:MS
Practice Address - Zip Code:39652-4101
Practice Address - Country:US
Practice Address - Phone:601-783-6410
Practice Address - Fax:601-783-6470
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROSE HILL COMMUNITY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)