Provider Demographics
NPI:1831977792
Name:SPILLER TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:SPILLER TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPILLLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-339-3290
Mailing Address - Street 1:29 LARKSPUR LN
Mailing Address - Street 2:
Mailing Address - City:WESTWEGO
Mailing Address - State:LA
Mailing Address - Zip Code:70094-5715
Mailing Address - Country:US
Mailing Address - Phone:150-433-9329
Mailing Address - Fax:
Practice Address - Street 1:29 LARKSPUR LN
Practice Address - Street 2:
Practice Address - City:WESTWEGO
Practice Address - State:LA
Practice Address - Zip Code:70094-5715
Practice Address - Country:US
Practice Address - Phone:150-433-9329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)