Provider Demographics
NPI:1184057689
Name:MOBILITY TRANSPORT SOLUTIONS III, LLC
Entity type:Organization
Organization Name:MOBILITY TRANSPORT SOLUTIONS III, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GERI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SPANGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-253-0057
Mailing Address - Street 1:1070 TUNNEL RD
Mailing Address - Street 2:BUILDING 4 SUITE 1
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2014
Mailing Address - Country:US
Mailing Address - Phone:828-253-0057
Mailing Address - Fax:828-298-6867
Practice Address - Street 1:1070 TUNNEL RD
Practice Address - Street 2:BUILDING 4 SUITE 1
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2014
Practice Address - Country:US
Practice Address - Phone:828-253-0057
Practice Address - Fax:828-298-6867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-20
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ489080001Medicare PIN