Provider Demographics
NPI:1396977005
Name:PEAKS & VALLEYS TRANPORT LLC
Entity type:Organization
Organization Name:PEAKS & VALLEYS TRANPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-388-6242
Mailing Address - Street 1:1380 RTE 286 HWY E
Mailing Address - Street 2:BLDG 2, #223
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1461
Mailing Address - Country:US
Mailing Address - Phone:724-388-6242
Mailing Address - Fax:724-349-6560
Practice Address - Street 1:1380 RTE 286 HWY E
Practice Address - Street 2:BLDG 2, #223
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1461
Practice Address - Country:US
Practice Address - Phone:724-388-6242
Practice Address - Fax:724-349-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPPLIED FOR343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)