Provider Demographics
NPI:1851865190
Name:TORNADO TRANSIT LLC
Entity Type:Organization
Organization Name:TORNADO TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICKEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-347-4555
Mailing Address - Street 1:PO BOX 8579
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-0579
Mailing Address - Country:US
Mailing Address - Phone:316-650-5080
Mailing Address - Fax:316-260-3106
Practice Address - Street 1:416 N CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-3236
Practice Address - Country:US
Practice Address - Phone:316-650-5080
Practice Address - Fax:316-260-3106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)