Provider Demographics
NPI:1912167446
Name:ROBERT SIMS TRANSPORT
Entity Type:Organization
Organization Name:ROBERT SIMS TRANSPORT
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:NONE
Authorized Official - Phone:225-413-5700
Mailing Address - Street 1:12552 LANGER AVE
Mailing Address - Street 2:NONE
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7328
Mailing Address - Country:US
Mailing Address - Phone:225-413-5700
Mailing Address - Fax:225-273-2942
Practice Address - Street 1:12552 LANGER AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70814-7328
Practice Address - Country:US
Practice Address - Phone:225-413-5700
Practice Address - Fax:225-273-2942
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-09
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3356581343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)