Provider Demographics
NPI:1386054377
Name:ATK TRANSPORTATION, LLC
Entity type:Organization
Organization Name:ATK TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-898-8438
Mailing Address - Street 1:5502 RUDY LN
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-1226
Mailing Address - Country:US
Mailing Address - Phone:540-898-8438
Mailing Address - Fax:855-201-3298
Practice Address - Street 1:5502 RUDY LN
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-1226
Practice Address - Country:US
Practice Address - Phone:540-898-8438
Practice Address - Fax:855-201-3298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)