Provider Demographics
NPI:1982934097
Name:MEDICAL TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:MEDICAL TRANSPORTATION SERVICES LLC
Other - Org Name:MERCY TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-347-4700
Mailing Address - Street 1:6320 EVERGREEN WAY STE 210
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-4560
Mailing Address - Country:US
Mailing Address - Phone:425-347-4700
Mailing Address - Fax:425-355-4766
Practice Address - Street 1:6320 EVERGREEN WAY STE 210
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-4560
Practice Address - Country:US
Practice Address - Phone:425-347-4700
Practice Address - Fax:425-355-4766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602567090343900000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle