Provider Demographics
NPI:1457798647
Name:BW TRANSPORT SERVICES, INC.
Entity Type:Organization
Organization Name:BW TRANSPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:CHARLENE
Authorized Official - Last Name:WIENECKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-838-9913
Mailing Address - Street 1:206 CHAUCER LN APT P
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-9040
Mailing Address - Country:US
Mailing Address - Phone:410-838-9913
Mailing Address - Fax:
Practice Address - Street 1:206 CHAUCER LN APT P
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-9040
Practice Address - Country:US
Practice Address - Phone:410-838-9913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)