Provider Demographics
NPI:1346075306
Name:RELIABLE MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:RELIABLE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-466-9716
Mailing Address - Street 1:3507 MONTAGNE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46816-2772
Mailing Address - Country:US
Mailing Address - Phone:518-466-9716
Mailing Address - Fax:
Practice Address - Street 1:3507 MONTAGNE DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46816-2772
Practice Address - Country:US
Practice Address - Phone:518-466-9716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)