Provider Demographics
NPI:1659952638
Name:SMOOTH TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SMOOTH TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALVIN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:985-707-9473
Mailing Address - Street 1:129 LAKESHORE VLG S
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5693
Mailing Address - Country:US
Mailing Address - Phone:150-437-7908
Mailing Address - Fax:
Practice Address - Street 1:129 LAKESHORE VLG S
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5693
Practice Address - Country:US
Practice Address - Phone:150-437-7908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)