Provider Demographics
NPI:1922522580
Name:GOLDAGE TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:GOLDAGE TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NURDIN
Authorized Official - Middle Name:Z
Authorized Official - Last Name:MWANILELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-330-7471
Mailing Address - Street 1:181 STATE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1719
Mailing Address - Country:US
Mailing Address - Phone:413-330-7471
Mailing Address - Fax:
Practice Address - Street 1:181 STATE ST STE 2
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1719
Practice Address - Country:US
Practice Address - Phone:413-330-7471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)