Provider Demographics
NPI:1811393184
Name:ZAP TRANSPORT SERVICE
Entity Type:Organization
Organization Name:ZAP TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMEYIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:KELLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-732-3890
Mailing Address - Street 1:PO BOX 3627
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24115-3627
Mailing Address - Country:US
Mailing Address - Phone:276-732-3890
Mailing Address - Fax:
Practice Address - Street 1:110 STARLING AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-3806
Practice Address - Country:US
Practice Address - Phone:276-732-3890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT63361963343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)