Provider Demographics
NPI:1982370292
Name:ON TIME NON EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ON TIME NON EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:B
Authorized Official - Last Name:FAIRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-707-3543
Mailing Address - Street 1:4921 BOYD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1609
Mailing Address - Country:US
Mailing Address - Phone:615-828-4415
Mailing Address - Fax:
Practice Address - Street 1:4921 BOYD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-1609
Practice Address - Country:US
Practice Address - Phone:615-828-4415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)