Provider Demographics
NPI:1124292933
Name:ON THE MOVE TRANSPORTATION, INC.
Entity type:Organization
Organization Name:ON THE MOVE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVERETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-232-9956
Mailing Address - Street 1:PO BOX 310382
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48531-0382
Mailing Address - Country:US
Mailing Address - Phone:810-232-9956
Mailing Address - Fax:810-232-9957
Practice Address - Street 1:3933 W COURT ST.
Practice Address - Street 2:STE K
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-232-9956
Practice Address - Fax:810-232-9957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1159343800000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)