Provider Demographics
NPI:1770197550
Name:LOVETT TRANSPORTATION L.L.C.
Entity Type:Organization
Organization Name:LOVETT TRANSPORTATION L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-776-7191
Mailing Address - Street 1:PO BOX 4056
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-4056
Mailing Address - Country:US
Mailing Address - Phone:865-776-7191
Mailing Address - Fax:423-569-1423
Practice Address - Street 1:134 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-2106
Practice Address - Country:US
Practice Address - Phone:865-776-7191
Practice Address - Fax:423-569-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ019513Medicaid