Provider Demographics
NPI:1811765035
Name:EAGLES TRANSPORTAIONS LLC
Entity type:Organization
Organization Name:EAGLES TRANSPORTAIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:SALAHELDIN
Authorized Official - Last Name:ELSEHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-750-3090
Mailing Address - Street 1:290 FREESTONE DR NE
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-4006
Mailing Address - Country:US
Mailing Address - Phone:540-750-3090
Mailing Address - Fax:
Practice Address - Street 1:290 FREESTONE DR NE
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-4006
Practice Address - Country:US
Practice Address - Phone:540-750-3090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)