Provider Demographics
NPI:1710464102
Name:NEADC TRANSPORTATION INC
Entity Type:Organization
Organization Name:NEADC TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:UFBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-671-0200
Mailing Address - Street 1:11048 RENNARD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-2618
Mailing Address - Country:US
Mailing Address - Phone:215-671-0200
Mailing Address - Fax:
Practice Address - Street 1:11048 RENNARD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-2618
Practice Address - Country:US
Practice Address - Phone:215-671-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAA-6219838343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)