Provider Demographics
NPI:1134790553
Name:BELTON TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:BELTON TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:DARRELL
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-979-8157
Mailing Address - Street 1:136 SWARTZ RD APT B5
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3662
Mailing Address - Country:US
Mailing Address - Phone:803-979-8157
Mailing Address - Fax:
Practice Address - Street 1:136 SWARTZ RD APT B5
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3662
Practice Address - Country:US
Practice Address - Phone:803-979-8157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date: