Provider Demographics
NPI:1033642558
Name:AREA WIDE TRANSPORT LLC
Entity type:Organization
Organization Name:AREA WIDE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:LUEGGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-679-6999
Mailing Address - Street 1:12636 N US HIGHWAY 131
Mailing Address - Street 2:
Mailing Address - City:SCHOOLCRAFT
Mailing Address - State:MI
Mailing Address - Zip Code:49087-9401
Mailing Address - Country:US
Mailing Address - Phone:269-679-6999
Mailing Address - Fax:269-679-7297
Practice Address - Street 1:12636 N US HIGHWAY 131
Practice Address - Street 2:
Practice Address - City:SCHOOLCRAFT
Practice Address - State:MI
Practice Address - Zip Code:49087-9401
Practice Address - Country:US
Practice Address - Phone:269-679-6999
Practice Address - Fax:269-679-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)