Provider Demographics
NPI:1891093852
Name:GOODMAN TRANSPORT SERVICES, INC.
Entity Type:Organization
Organization Name:GOODMAN TRANSPORT SERVICES, INC.
Other - Org Name:GOODMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EPHRAIM
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GOODMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-237-8275
Mailing Address - Street 1:5004 KEMPS FARM PL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-5540
Mailing Address - Country:US
Mailing Address - Phone:757-222-1890
Mailing Address - Fax:757-233-8432
Practice Address - Street 1:5004 KEMPS FARM PL
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-5540
Practice Address - Country:US
Practice Address - Phone:757-222-1890
Practice Address - Fax:757-233-8432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-01
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment