Provider Demographics
NPI:1740757210
Name:COAST GROUP TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COAST GROUP TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-752-0681
Mailing Address - Street 1:11474 PATTERSON LN
Mailing Address - Street 2:
Mailing Address - City:ELBERTA
Mailing Address - State:AL
Mailing Address - Zip Code:36530-4670
Mailing Address - Country:US
Mailing Address - Phone:251-752-0681
Mailing Address - Fax:
Practice Address - Street 1:11474 PATTERSON LN
Practice Address - Street 2:
Practice Address - City:ELBERTA
Practice Address - State:AL
Practice Address - Zip Code:36530-4670
Practice Address - Country:US
Practice Address - Phone:251-752-0681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COAST GROUP TRANSPORTATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi