Provider Demographics
NPI:1679233639
Name:TRANSITIONS MEDICAL TRANSPORTATION INC.
Entity Type:Organization
Organization Name:TRANSITIONS MEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:DERECK
Authorized Official - Middle Name:DAY
Authorized Official - Last Name:SHONHIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-490-5853
Mailing Address - Street 1:379 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-8006
Mailing Address - Country:US
Mailing Address - Phone:978-490-5853
Mailing Address - Fax:
Practice Address - Street 1:379 MAIN ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-8006
Practice Address - Country:US
Practice Address - Phone:978-490-5853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)