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) |