Provider Demographics
NPI:1932848736
Name:PLAN B EXPRESS TRANSIT, LLC
Entity Type:Organization
Organization Name:PLAN B EXPRESS TRANSIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER / BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGH-WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-443-5561
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:NUNDA
Mailing Address - State:NY
Mailing Address - Zip Code:14517-0507
Mailing Address - Country:US
Mailing Address - Phone:585-443-5561
Mailing Address - Fax:
Practice Address - Street 1:11 N STATE ST
Practice Address - Street 2:
Practice Address - City:NUNDA
Practice Address - State:NY
Practice Address - Zip Code:14517-9559
Practice Address - Country:US
Practice Address - Phone:585-443-5561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06491854Medicaid