Provider Demographics
NPI:1356117121
Name:BLEDSOE PREMIER TRANSPORTATION
Entity type:Organization
Organization Name:BLEDSOE PREMIER TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALTHESIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEDSOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-457-5888
Mailing Address - Street 1:206 N 3RD ST STE 114
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52601-5359
Mailing Address - Country:US
Mailing Address - Phone:319-752-0967
Mailing Address - Fax:319-752-0256
Practice Address - Street 1:206 N 3RD ST STE 114
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5359
Practice Address - Country:US
Practice Address - Phone:319-752-0967
Practice Address - Fax:319-752-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company