Provider Demographics
NPI:1013240670
Name:METRO TRANSPORTATION SERVICE
Entity Type:Organization
Organization Name:METRO TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:PICKETT
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-481-8979
Mailing Address - Street 1:6309 ALTHORP COVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:TN
Mailing Address - Zip Code:38002-7005
Mailing Address - Country:US
Mailing Address - Phone:901-829-4554
Mailing Address - Fax:901-829-7766
Practice Address - Street 1:6309 ALTHORP COVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002-7005
Practice Address - Country:US
Practice Address - Phone:901-829-4554
Practice Address - Fax:901-829-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle