Provider Demographics
NPI:1689827339
Name:MID-MISSOURI TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MID-MISSOURI TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LINDSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-808-5983
Mailing Address - Street 1:634 CRAWFORD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:MO
Mailing Address - Zip Code:63080-2514
Mailing Address - Country:US
Mailing Address - Phone:573-468-8503
Mailing Address - Fax:576-468-7029
Practice Address - Street 1:634 CRAWFORD CIRCLE
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:MO
Practice Address - Zip Code:63080-2514
Practice Address - Country:US
Practice Address - Phone:573-468-8503
Practice Address - Fax:576-468-7029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi