Provider Demographics
NPI:1669738779
Name:CONTRACT FOR HIRE
Entity type:Organization
Organization Name:CONTRACT FOR HIRE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:FORREST
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-389-0169
Mailing Address - Street 1:1726 CATHERINE FRAN DR
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3226
Mailing Address - Country:US
Mailing Address - Phone:240-605-6457
Mailing Address - Fax:
Practice Address - Street 1:1726 CATHERINE FRAN DR
Practice Address - Street 2:
Practice Address - City:ACCOKEEK
Practice Address - State:MD
Practice Address - Zip Code:20607-3226
Practice Address - Country:US
Practice Address - Phone:240-605-6457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD7AP8421343900000X
MD7AP8420343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)