Provider Demographics
NPI:1659545085
Name:A & C TRANSPORTATION, INC
Entity Type:Organization
Organization Name:A & C TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHALISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BURTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-753-0770
Mailing Address - Street 1:430 E 162ND ST
Mailing Address - Street 2:105
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2258
Mailing Address - Country:US
Mailing Address - Phone:708-753-0770
Mailing Address - Fax:
Practice Address - Street 1:430 E 162ND ST
Practice Address - Street 2:105
Practice Address - City:SOUTH HOLLAND
Practice Address - State:IL
Practice Address - Zip Code:60473-2258
Practice Address - Country:US
Practice Address - Phone:708-753-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILB63210172775343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)