Provider Demographics
NPI:1851688535
Name:RMT SERVICE
Entity Type:Organization
Organization Name:RMT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:615-730-2819
Mailing Address - Street 1:PO BOX 1496
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37077-1496
Mailing Address - Country:US
Mailing Address - Phone:615-730-2819
Mailing Address - Fax:
Practice Address - Street 1:394 W MAIN ST
Practice Address - Street 2:SUITE B9 OFC 1
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3348
Practice Address - Country:US
Practice Address - Phone:615-730-2819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00141455444343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)