Provider Demographics
NPI:1760040596
Name:SIMMONS TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:SIMMONS TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERYK
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-760-3610
Mailing Address - Street 1:15 JEFFERSON PL
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-2907
Mailing Address - Country:US
Mailing Address - Phone:914-760-3610
Mailing Address - Fax:914-761-7506
Practice Address - Street 1:15 JEFFERSON PL
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-2907
Practice Address - Country:US
Practice Address - Phone:914-760-3610
Practice Address - Fax:914-761-7506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)