Provider Demographics
NPI:1811239379
Name:RUNWAY TRANSPORTATION
Entity Type:Organization
Organization Name:RUNWAY TRANSPORTATION
Other - Org Name:RUNWAY TRANSPORTATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:248-212-3770
Mailing Address - Street 1:23353 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1971
Mailing Address - Country:US
Mailing Address - Phone:248-212-3770
Mailing Address - Fax:
Practice Address - Street 1:23353 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-1971
Practice Address - Country:US
Practice Address - Phone:248-212-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)