Provider Demographics
NPI:1881023398
Name:CONNECT TRANSPORT LLC
Entity Type:Organization
Organization Name:CONNECT TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-324-3414
Mailing Address - Street 1:3336 N TEXAS ST
Mailing Address - Street 2:SUITE J347
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-9762
Mailing Address - Country:US
Mailing Address - Phone:707-324-3414
Mailing Address - Fax:707-324-3413
Practice Address - Street 1:3336 N TEXAS ST
Practice Address - Street 2:SUITE J347
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-9762
Practice Address - Country:US
Practice Address - Phone:707-324-3414
Practice Address - Fax:707-324-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)