Provider Demographics
NPI:1841806122
Name:HERE AND THERE MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:HERE AND THERE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:SUMPTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-988-3966
Mailing Address - Street 1:3401 OLD HALIFAX RD STE H
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:VA
Mailing Address - Zip Code:24592-4915
Mailing Address - Country:US
Mailing Address - Phone:336-987-2145
Mailing Address - Fax:
Practice Address - Street 1:3401 OLD HALIFAX RD STE H
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592-4915
Practice Address - Country:US
Practice Address - Phone:336-987-2145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)