Provider Demographics
NPI:1285490870
Name:BIG CHIEF TRANSPORT SERVICE, LLC
Entity type:Organization
Organization Name:BIG CHIEF TRANSPORT SERVICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:O'NEAL
Authorized Official - Last Name:BOSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-453-3359
Mailing Address - Street 1:184 KENTUCKY CIRCLE
Mailing Address - Street 2:LITTLE ROCK AFB
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076
Mailing Address - Country:US
Mailing Address - Phone:501-453-3359
Mailing Address - Fax:
Practice Address - Street 1:184 KENTUCKY CIRCLE
Practice Address - Street 2:LITTLE ROCK AFB
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076
Practice Address - Country:US
Practice Address - Phone:501-453-3359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No347E00000XTransportation ServicesTransportation Broker