Provider Demographics
NPI:1609141712
Name:ON-TIME TRANSPORTATION
Entity Type:Organization
Organization Name:ON-TIME TRANSPORTATION
Other - Org Name:QUENTIN MILLER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:QUENTIN
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:843-359-6584
Mailing Address - Street 1:3126 CARVERS BAY RD
Mailing Address - Street 2:
Mailing Address - City:HEMINGWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29554-4864
Mailing Address - Country:US
Mailing Address - Phone:843-359-6584
Mailing Address - Fax:
Practice Address - Street 1:3126 CARVERS BAY RD
Practice Address - Street 2:
Practice Address - City:HEMINGWAY
Practice Address - State:SC
Practice Address - Zip Code:29554-4864
Practice Address - Country:US
Practice Address - Phone:843-359-6584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MILLER'S TRUCKING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSCDL007398105343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle