Provider Demographics
NPI:1124302245
Name:ULTIMATE TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:ULTIMATE TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGABIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-309-9908
Mailing Address - Street 1:1101 TYVOLA RD STE 315
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-3515
Mailing Address - Country:US
Mailing Address - Phone:704-309-9908
Mailing Address - Fax:
Practice Address - Street 1:1101 TYVOLA RD STE 315
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-3515
Practice Address - Country:US
Practice Address - Phone:704-309-9908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCAEK 4721343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)