Provider Demographics
NPI:1760645501
Name:PHC TRANSPORTATION
Entity Type:Organization
Organization Name:PHC TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PTR
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELANCON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-538-0248
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-0209
Mailing Address - Country:US
Mailing Address - Phone:281-538-0248
Mailing Address - Fax:281-538-0626
Practice Address - Street 1:427 TWIN TIMBERS
Practice Address - Street 2:
Practice Address - City:KEMAH
Practice Address - State:TX
Practice Address - Zip Code:77565-2296
Practice Address - Country:US
Practice Address - Phone:281-538-0248
Practice Address - Fax:281-538-0626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)