Provider Demographics
NPI:1891982674
Name:TRI STATE TRANSPORTATION
Entity Type:Organization
Organization Name:TRI STATE TRANSPORTATION
Other - Org Name:METRO RIDE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-429-0011
Mailing Address - Street 1:1027 E VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47711-5722
Mailing Address - Country:US
Mailing Address - Phone:812-429-0011
Mailing Address - Fax:812-421-1128
Practice Address - Street 1:1027 E VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5722
Practice Address - Country:US
Practice Address - Phone:812-429-0011
Practice Address - Fax:812-421-1128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi