Provider Demographics
NPI:1265096200
Name:MARSHALL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:MARSHALL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-720-0462
Mailing Address - Street 1:322 E BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-2812
Mailing Address - Country:US
Mailing Address - Phone:804-458-3327
Mailing Address - Fax:804-458-3328
Practice Address - Street 1:322 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-2812
Practice Address - Country:US
Practice Address - Phone:804-458-3327
Practice Address - Fax:804-458-3328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-25
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)