Provider Demographics
NPI:1689831497
Name:HEALTHCARE TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:HEALTHCARE TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:CONNELLY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:404-557-2613
Mailing Address - Street 1:605 BRANDENBURGH WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2820
Mailing Address - Country:US
Mailing Address - Phone:404-557-2613
Mailing Address - Fax:404-745-8088
Practice Address - Street 1:605 BRANDENBURGH WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2820
Practice Address - Country:US
Practice Address - Phone:404-557-2613
Practice Address - Fax:404-745-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)