Provider Demographics
NPI:1750087730
Name:SECURE TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:SECURE TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-818-8442
Mailing Address - Street 1:PO BOX 291
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MO
Mailing Address - Zip Code:64874-0291
Mailing Address - Country:US
Mailing Address - Phone:417-818-8442
Mailing Address - Fax:
Practice Address - Street 1:256 STATE HIGHWAY 76
Practice Address - Street 2:
Practice Address - City:ROCKY COMFORT
Practice Address - State:MO
Practice Address - Zip Code:64861-8106
Practice Address - Country:US
Practice Address - Phone:417-818-8442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle