Provider Demographics
NPI:1689825598
Name:HOLLIS TRANSPORTATION SERVICE
Entity Type:Organization
Organization Name:HOLLIS TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HOLLIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:770-412-0906
Mailing Address - Street 1:440 N. 9TH ST.
Mailing Address - Street 2:
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30223
Mailing Address - Country:US
Mailing Address - Phone:770-412-0906
Mailing Address - Fax:
Practice Address - Street 1:440 N. 9TH ST.
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30223
Practice Address - Country:US
Practice Address - Phone:770-412-0906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)