Provider Demographics
NPI:1063945491
Name:CARMENS TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:CARMENS TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HENDRICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-267-5231
Mailing Address - Street 1:2175 PALMER ST
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-1341
Mailing Address - Country:US
Mailing Address - Phone:540-382-8001
Mailing Address - Fax:540-382-8001
Practice Address - Street 1:2175 PALMER ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1341
Practice Address - Country:US
Practice Address - Phone:540-382-8001
Practice Address - Fax:540-382-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker