Provider Demographics
NPI:1659528800
Name:SPECIAL TRANSIT SERVICES, INC.
Entity Type:Organization
Organization Name:SPECIAL TRANSIT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-698-7337
Mailing Address - Street 1:1617 WILCOX BLVD BLDG B
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-4302
Mailing Address - Country:US
Mailing Address - Phone:423-698-7337
Mailing Address - Fax:423-629-3777
Practice Address - Street 1:1617 WILCOX BLVD BLDG B
Practice Address - Street 2:SUITE 200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37406-4302
Practice Address - Country:US
Practice Address - Phone:423-698-7337
Practice Address - Fax:423-629-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)