Provider Demographics
NPI: | 1316622194 |
---|---|
Name: | HEALTH DIRECT TRANSPORTATION SERVICES INC |
Entity type: | Organization |
Organization Name: | HEALTH DIRECT TRANSPORTATION SERVICES INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHINYERE |
Authorized Official - Middle Name: | V |
Authorized Official - Last Name: | UBAWIKE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 469-396-1093 |
Mailing Address - Street 1: | 4516 STONEVALLEY DR |
Mailing Address - Street 2: | |
Mailing Address - City: | MCKINNEY |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75070-1852 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 469-396-1093 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4516 STONEVALLEY DR |
Practice Address - Street 2: | |
Practice Address - City: | MCKINNEY |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75070-1852 |
Practice Address - Country: | US |
Practice Address - Phone: | 469-396-1093 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-06-19 |
Last Update Date: | 2024-05-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 343800000X | Transportation Services | Secured Medical Transport (VAN) |