Provider Demographics
NPI:1720438203
Name:SPECIAL GEE DELIVERY INC.
Entity Type:Organization
Organization Name:SPECIAL GEE DELIVERY INC.
Other - Org Name:SPECIAL DELIVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PERZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-278-5695
Mailing Address - Street 1:1429 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:WEISER
Mailing Address - State:ID
Mailing Address - Zip Code:83672-5771
Mailing Address - Country:US
Mailing Address - Phone:208-278-5695
Mailing Address - Fax:208-549-0643
Practice Address - Street 1:1429 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:WEISER
Practice Address - State:ID
Practice Address - Zip Code:83672-5771
Practice Address - Country:US
Practice Address - Phone:208-278-5695
Practice Address - Fax:208-549-0643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM8067558343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)