Provider Demographics
NPI:1598378333
Name:SAFE PASSAGE TRANSPORTATION
Entity Type:Organization
Organization Name:SAFE PASSAGE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-832-4876
Mailing Address - Street 1:790 COUNTY ROAD 101
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38601-9663
Mailing Address - Country:US
Mailing Address - Phone:662-832-4876
Mailing Address - Fax:
Practice Address - Street 1:790 COUNTY ROAD 101
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38601-9663
Practice Address - Country:US
Practice Address - Phone:662-832-4876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-30
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)