Provider Demographics
NPI:1013509579
Name:O.T. TRANSPORTATION
Entity Type:Organization
Organization Name:O.T. TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:504-338-5040
Mailing Address - Street 1:1455 N VILLERE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-1846
Mailing Address - Country:US
Mailing Address - Phone:504-338-5040
Mailing Address - Fax:
Practice Address - Street 1:1455 N VILLERE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-1846
Practice Address - Country:US
Practice Address - Phone:504-338-5040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)