Provider Demographics
NPI:1952055139
Name:M&T TRANSPORTATION SERVICE LLC.
Entity Type:Organization
Organization Name:M&T TRANSPORTATION SERVICE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:UMPHREY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-615-1613
Mailing Address - Street 1:4245 INNSLAKE DR APT 1315
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-5507
Mailing Address - Country:US
Mailing Address - Phone:804-615-1613
Mailing Address - Fax:
Practice Address - Street 1:110 N ROBINSON ST STE 200
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4460
Practice Address - Country:US
Practice Address - Phone:804-615-1613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)