Provider Demographics
NPI:1801430947
Name:COLONIAL TRANSIT, LLC
Entity type:Organization
Organization Name:COLONIAL TRANSIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:FROST
Authorized Official - Last Name:BONNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-565-1966
Mailing Address - Street 1:1714 SKIFFES CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-6259
Mailing Address - Country:US
Mailing Address - Phone:757-565-1966
Mailing Address - Fax:
Practice Address - Street 1:1714 SKIFFES CREEK CIR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-6259
Practice Address - Country:US
Practice Address - Phone:757-565-1966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)