Provider Demographics
NPI:1720707284
Name:HAMILTON COUNTRY TRANSPORTATION
Entity Type:Organization
Organization Name:HAMILTON COUNTRY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-855-1632
Mailing Address - Street 1:3786 NW 86TH BLVD
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:FL
Mailing Address - Zip Code:32052-5789
Mailing Address - Country:US
Mailing Address - Phone:386-855-1357
Mailing Address - Fax:
Practice Address - Street 1:3786 NW 86TH BLVD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052-5789
Practice Address - Country:US
Practice Address - Phone:386-855-1357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)