Provider Demographics
NPI:1700422680
Name:ACC TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ACC TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:COTTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-220-2054
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:REEDVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22539-0104
Mailing Address - Country:US
Mailing Address - Phone:804-220-2054
Mailing Address - Fax:804-220-2054
Practice Address - Street 1:73 FIELDS LANE
Practice Address - Street 2:
Practice Address - City:REEDVILLE
Practice Address - State:VA
Practice Address - Zip Code:22539
Practice Address - Country:US
Practice Address - Phone:804-202-2054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty