Provider Demographics
NPI:1386127231
Name:O.B.H. TRANSPORTATION
Entity type:Organization
Organization Name:O.B.H. TRANSPORTATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-678-2469
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-0609
Mailing Address - Country:US
Mailing Address - Phone:248-678-2469
Mailing Address - Fax:866-589-4564
Practice Address - Street 1:12695 COYLE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-2510
Practice Address - Country:US
Practice Address - Phone:248-678-2469
Practice Address - Fax:866-589-4564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)