Provider Demographics
NPI:1316325558
Name:DEPENDABLE TRANSIT SERVICE
Entity type:Organization
Organization Name:DEPENDABLE TRANSIT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-628-1249
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:WHITE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32096-0055
Mailing Address - Country:US
Mailing Address - Phone:386-628-1249
Mailing Address - Fax:386-628-0201
Practice Address - Street 1:2750 CREEK RIDGE DR
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-6215
Practice Address - Country:US
Practice Address - Phone:386-628-1249
Practice Address - Fax:386-628-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)