Provider Demographics
NPI:1942771258
Name:MOBILITY 1 TRANSPORT LLC
Entity Type:Organization
Organization Name:MOBILITY 1 TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:PH, VET, D-VET,
Authorized Official - Phone:269-763-2014
Mailing Address - Street 1:123 N MAIN ST # 3
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:MI
Mailing Address - Zip Code:49021-1231
Mailing Address - Country:US
Mailing Address - Phone:269-430-5055
Mailing Address - Fax:269-430-5042
Practice Address - Street 1:123 N MAIN ST # 3
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:MI
Practice Address - Zip Code:49021-1231
Practice Address - Country:US
Practice Address - Phone:269-430-5055
Practice Address - Fax:269-430-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-12
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker