Provider Demographics
NPI:1619289378
Name:PROFESSIONAL TAXI & SHUTTLE SERVICES
Entity Type:Organization
Organization Name:PROFESSIONAL TAXI & SHUTTLE SERVICES
Other - Org Name:TRANSPORTATION SYSTEMS DEVELOPMENT COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-416-0458
Mailing Address - Street 1:1205 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-4711
Mailing Address - Country:US
Mailing Address - Phone:910-416-0458
Mailing Address - Fax:888-268-3284
Practice Address - Street 1:1205 N PINE ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-4711
Practice Address - Country:US
Practice Address - Phone:910-416-0458
Practice Address - Fax:888-268-3284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-10
Last Update Date:2010-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35456342343900000X, 344600000X, 347B00000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347E00000XTransportation ServicesTransportation Broker