Provider Demographics
NPI:1205509304
Name:STEWART TRANSPORTATION LLC
Entity type:Organization
Organization Name:STEWART TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRIVER
Authorized Official - Prefix:MS
Authorized Official - First Name:TASHEKA
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-348-8287
Mailing Address - Street 1:11466 JAMES RD
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-5620
Mailing Address - Country:US
Mailing Address - Phone:985-348-8287
Mailing Address - Fax:
Practice Address - Street 1:10652 HIGHWAY 1045
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-5816
Practice Address - Country:US
Practice Address - Phone:985-348-8287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)