Provider Demographics
NPI:1285109454
Name:QUAYE TRANSPORT INC.
Entity type:Organization
Organization Name:QUAYE TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-908-7047
Mailing Address - Street 1:1333 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-4617
Mailing Address - Country:US
Mailing Address - Phone:804-908-7047
Mailing Address - Fax:
Practice Address - Street 1:1333 CONCORD DR
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-4617
Practice Address - Country:US
Practice Address - Phone:804-908-7047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)