Provider Demographics
NPI:1760188015
Name:ON THE RUN MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ON THE RUN MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-620-3191
Mailing Address - Street 1:7041 SAINT MARY AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70811-1432
Mailing Address - Country:US
Mailing Address - Phone:225-620-3191
Mailing Address - Fax:225-775-3801
Practice Address - Street 1:7041 SAINT MARY AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-1432
Practice Address - Country:US
Practice Address - Phone:225-620-3191
Practice Address - Fax:225-775-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)