Provider Demographics
NPI:1972278133
Name:NOAHS ARK TRANSPORTATION LLC
Entity Type:Organization
Organization Name:NOAHS ARK TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-455-3566
Mailing Address - Street 1:3289 SPICER AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32735-9018
Mailing Address - Country:US
Mailing Address - Phone:352-455-3566
Mailing Address - Fax:352-589-5884
Practice Address - Street 1:3289 SPICER AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32735-9018
Practice Address - Country:US
Practice Address - Phone:352-455-3566
Practice Address - Fax:352-589-5884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi