Provider Demographics
NPI:1457552812
Name:ARROW TRANSPORT
Entity Type:Organization
Organization Name:ARROW TRANSPORT
Other - Org Name:VERNA BASTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BASTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-946-2564
Mailing Address - Street 1:PO BOX 833
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:TN
Mailing Address - Zip Code:38585
Mailing Address - Country:US
Mailing Address - Phone:931-946-2564
Mailing Address - Fax:931-946-2564
Practice Address - Street 1:620 OLD MCMINNVILLE STREET
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:TN
Practice Address - Zip Code:38585
Practice Address - Country:US
Practice Address - Phone:931-946-2564
Practice Address - Fax:931-946-2564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3007997Medicaid