Provider Demographics
NPI:1790087161
Name:COVENANT TRANSPORTATION LLC
Entity Type:Organization
Organization Name:COVENANT TRANSPORTATION LLC
Other - Org Name:DOCTORS TRANSPORT SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-924-4990
Mailing Address - Street 1:3920 BEE RIDGE RD
Mailing Address - Street 2:C-D
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1207
Mailing Address - Country:US
Mailing Address - Phone:941-924-4990
Mailing Address - Fax:941-922-5751
Practice Address - Street 1:3920 BEE RIDGE RD
Practice Address - Street 2:C-D
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-924-4990
Practice Address - Fax:941-922-5751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL58-NS-00209343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)