Provider Demographics
NPI:1063899490
Name:TAMMYS TRANSPORT LLC.
Entity type:Organization
Organization Name:TAMMYS TRANSPORT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:TERRELL
Authorized Official - Last Name:HOGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-237-4370
Mailing Address - Street 1:8200 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-2304
Mailing Address - Country:US
Mailing Address - Phone:804-237-4370
Mailing Address - Fax:
Practice Address - Street 1:8200 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2304
Practice Address - Country:US
Practice Address - Phone:804-237-4370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS5544509343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)