Provider Demographics
NPI:1740547579
Name:BTD TRANSPORTATION
Entity type:Organization
Organization Name:BTD TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:III
Authorized Official - Credentials:BS, MNCN, MCP
Authorized Official - Phone:937-401-0073
Mailing Address - Street 1:8809 SALEM RDG
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-6016
Mailing Address - Country:US
Mailing Address - Phone:937-401-0073
Mailing Address - Fax:937-530-3096
Practice Address - Street 1:8809 SALEM RDG
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-6016
Practice Address - Country:US
Practice Address - Phone:937-401-0073
Practice Address - Fax:937-530-3096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)