Provider Demographics
NPI:1821829052
Name:STERK NEMT LLC
Entity type:Organization
Organization Name:STERK NEMT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:OWEN
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:405-556-0819
Mailing Address - Street 1:18680 GARDEN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-8214
Mailing Address - Country:US
Mailing Address - Phone:405-556-0819
Mailing Address - Fax:
Practice Address - Street 1:18680 GARDEN RIDGE RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-8214
Practice Address - Country:US
Practice Address - Phone:405-556-0819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)