Provider Demographics
NPI:1982189403
Name:AMERATRANS,LLC
Entity Type:Organization
Organization Name:AMERATRANS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:KUPERUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-879-1350
Mailing Address - Street 1:304 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513-1747
Mailing Address - Country:US
Mailing Address - Phone:315-879-1350
Mailing Address - Fax:313-331-4825
Practice Address - Street 1:304 EAST AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513-1747
Practice Address - Country:US
Practice Address - Phone:315-879-1350
Practice Address - Fax:313-331-4825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)