Provider Demographics
NPI:1851932461
Name:UNITED TRANSPORTATION GROUP, INC.
Entity Type:Organization
Organization Name:UNITED TRANSPORTATION GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MUCHUGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-240-4519
Mailing Address - Street 1:90 MADISON ST STE 605
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-2030
Mailing Address - Country:US
Mailing Address - Phone:774-240-4519
Mailing Address - Fax:774-244-4401
Practice Address - Street 1:90 MADISON ST STE 605
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2030
Practice Address - Country:US
Practice Address - Phone:774-240-4519
Practice Address - Fax:774-244-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)