Provider Demographics
NPI:1346065174
Name:CITY TRANSIT MANAGEMENT COMPANY, INC.
Entity type:Organization
Organization Name:CITY TRANSIT MANAGEMENT COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-775-3435
Mailing Address - Street 1:801 TEXAS AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79401-2723
Mailing Address - Country:US
Mailing Address - Phone:806-775-3435
Mailing Address - Fax:
Practice Address - Street 1:801 TEXAS AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79401-2723
Practice Address - Country:US
Practice Address - Phone:806-775-3435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)