Provider Demographics
NPI:1184118846
Name:TOWN & COUNTRY TRANSPORT
Entity type:Organization
Organization Name:TOWN & COUNTRY TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-340-6966
Mailing Address - Street 1:3019 BREMER ST
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43837-9232
Mailing Address - Country:US
Mailing Address - Phone:330-340-6966
Mailing Address - Fax:740-492-4247
Practice Address - Street 1:3019 BREMER ST
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43837-9232
Practice Address - Country:US
Practice Address - Phone:330-340-6966
Practice Address - Fax:740-492-4247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)