Provider Demographics
NPI:1871183939
Name:SPORTS TRANSPORTATION AND SCHEDULING
Entity Type:Organization
Organization Name:SPORTS TRANSPORTATION AND SCHEDULING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:MOATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-535-5540
Mailing Address - Street 1:PO BOX 1505
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-1505
Mailing Address - Country:US
Mailing Address - Phone:864-535-5600
Mailing Address - Fax:864-967-2135
Practice Address - Street 1:317 NEW NEELY FERRY RD STE 1
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2659
Practice Address - Country:US
Practice Address - Phone:864-535-5600
Practice Address - Fax:864-967-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)