Provider Demographics
NPI:1841432580
Name:REGIONAL TRANSPORTATION PROGRAM, INC
Entity Type:Organization
Organization Name:REGIONAL TRANSPORTATION PROGRAM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING & SYSTEMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-774-2666
Mailing Address - Street 1:127 SAINT JOHN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-3042
Mailing Address - Country:US
Mailing Address - Phone:207-774-2666
Mailing Address - Fax:207-828-8899
Practice Address - Street 1:127 SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3042
Practice Address - Country:US
Practice Address - Phone:207-774-2666
Practice Address - Fax:207-828-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME107420000Medicaid