Provider Demographics
NPI:1073172060
Name:SUNRISE PATIENT TRANSPORTATION INC
Entity type:Organization
Organization Name:SUNRISE PATIENT TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FACIA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:KROMAH
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFICATE
Authorized Official - Phone:312-532-7885
Mailing Address - Street 1:1206 COURTLAND CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-5128
Mailing Address - Country:US
Mailing Address - Phone:312-532-7885
Mailing Address - Fax:
Practice Address - Street 1:1206 COURTLAND CIR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-5128
Practice Address - Country:US
Practice Address - Phone:312-532-7885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle