Provider Demographics
NPI:1740778083
Name:RELIANCE TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:RELIANCE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-283-8935
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:
Mailing Address - City:WINONA
Mailing Address - State:MS
Mailing Address - Zip Code:38967-0110
Mailing Address - Country:US
Mailing Address - Phone:662-283-2069
Mailing Address - Fax:662-283-2739
Practice Address - Street 1:108 S FRONT ST
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MS
Practice Address - Zip Code:38967-2544
Practice Address - Country:US
Practice Address - Phone:662-283-2069
Practice Address - Fax:662-283-2739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)