Provider Demographics
NPI:1205118734
Name:BESTWAY TRANSPOTATION SERVICE
Entity type:Organization
Organization Name:BESTWAY TRANSPOTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-236-5099
Mailing Address - Street 1:514 PORTER ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-1326
Mailing Address - Country:US
Mailing Address - Phone:704-236-5099
Mailing Address - Fax:
Practice Address - Street 1:514 PORTER ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-1326
Practice Address - Country:US
Practice Address - Phone:704-236-5099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-10
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
NCABF11513418M1120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3418M1120XTransportation ServicesMilitary/U.S. Coast Guard TransportMilitary or U.S. Coast Guard Ambulance, Air Transport
No251S00000XAgenciesCommunity/Behavioral Health