Provider Demographics
NPI:1629854864
Name:INSPIRATIONAL NEMT SERVICE
Entity Type:Organization
Organization Name:INSPIRATIONAL NEMT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFONZO
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSMORE
Authorized Official - Suffix:
Authorized Official - Credentials:NON-EMERGENCY TRANSP
Authorized Official - Phone:334-520-6871
Mailing Address - Street 1:1502 ALAMO DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-6701
Mailing Address - Country:US
Mailing Address - Phone:334-520-6871
Mailing Address - Fax:
Practice Address - Street 1:1502 ALAMO DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-6701
Practice Address - Country:US
Practice Address - Phone:334-520-6871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)