Provider Demographics
NPI:1912577404
Name:STR TRANSPORT SERVICES
Entity Type:Organization
Organization Name:STR TRANSPORT SERVICES
Other - Org Name:STR TRANSPORT SERVICES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:R
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-363-2500
Mailing Address - Street 1:414 BRIGHT WATER LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-6006
Mailing Address - Country:US
Mailing Address - Phone:864-363-2500
Mailing Address - Fax:
Practice Address - Street 1:414 BRIGHT WATER LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-6006
Practice Address - Country:US
Practice Address - Phone:864-363-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8643632500OtherPHONE