Provider Demographics
NPI:1891558854
Name:MOTOR CITY TRANSPORTATION COMPANY
Entity Type:Organization
Organization Name:MOTOR CITY TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-362-5632
Mailing Address - Street 1:1168 SHAWNEE TRCE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-6536
Mailing Address - Country:US
Mailing Address - Phone:615-362-5632
Mailing Address - Fax:629-202-8864
Practice Address - Street 1:1168 SHAWNEE TRCE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-6536
Practice Address - Country:US
Practice Address - Phone:615-362-5632
Practice Address - Fax:629-202-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)