Provider Demographics
NPI:1316996440
Name:ROAD RUNNER INC.
Entity type:Organization
Organization Name:ROAD RUNNER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRAMLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-277-7171
Mailing Address - Street 1:17630 BRIARCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1101
Mailing Address - Country:US
Mailing Address - Phone:574-277-7171
Mailing Address - Fax:574-277-1442
Practice Address - Street 1:17630 BRIARCLIFF CT
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46635-1101
Practice Address - Country:US
Practice Address - Phone:574-277-7171
Practice Address - Fax:574-277-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1037157IN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)