Provider Demographics
NPI:1114756434
Name:SARGBA TRANSPORTATION
Entity type:Organization
Organization Name:SARGBA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAYSAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-219-6813
Mailing Address - Street 1:108 FISHERVILLE RD # SITE2
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03303-1003
Mailing Address - Country:US
Mailing Address - Phone:603-219-6813
Mailing Address - Fax:
Practice Address - Street 1:108 FISHERVILLE RD # SITE2
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03303-1003
Practice Address - Country:US
Practice Address - Phone:603-219-6813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)