Provider Demographics
NPI:1932829868
Name:HD TRANSPORTATION
Entity Type:Organization
Organization Name:HD TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:GUY
Authorized Official - Last Name:GLASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-770-4192
Mailing Address - Street 1:12605 HALIFAX RD
Mailing Address - Street 2:
Mailing Address - City:JAVA
Mailing Address - State:VA
Mailing Address - Zip Code:24565-3021
Mailing Address - Country:US
Mailing Address - Phone:434-770-4192
Mailing Address - Fax:434-432-8256
Practice Address - Street 1:12605 HALIFAX RD
Practice Address - Street 2:
Practice Address - City:JAVA
Practice Address - State:VA
Practice Address - Zip Code:24565-3021
Practice Address - Country:US
Practice Address - Phone:434-770-4192
Practice Address - Fax:434-432-8256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)