Provider Demographics
NPI:1740989524
Name:TRANSPORTATION BY ANDERSON SERVICES LLC
Entity type:Organization
Organization Name:TRANSPORTATION BY ANDERSON SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STAESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-285-9398
Mailing Address - Street 1:244 ONTARIO ST # 103
Mailing Address - Street 2:
Mailing Address - City:COHOES
Mailing Address - State:NY
Mailing Address - Zip Code:12047-2868
Mailing Address - Country:US
Mailing Address - Phone:518-590-4299
Mailing Address - Fax:
Practice Address - Street 1:244 ONTARIO ST # 103
Practice Address - Street 2:
Practice Address - City:COHOES
Practice Address - State:NY
Practice Address - Zip Code:12047-2868
Practice Address - Country:US
Practice Address - Phone:518-590-4299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)