Provider Demographics
NPI:1740984376
Name:CASS P. TRANSPORT
Entity type:Organization
Organization Name:CASS P. TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:PHELIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-609-5154
Mailing Address - Street 1:911 BILAMY CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1385
Mailing Address - Country:US
Mailing Address - Phone:513-609-5154
Mailing Address - Fax:
Practice Address - Street 1:911 BILAMY CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-1385
Practice Address - Country:US
Practice Address - Phone:513-609-5154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)