Provider Demographics
NPI:1427143486
Name:MARY & MARTHA TRANSPORTATION SERVICE, INC.
Entity type:Organization
Organization Name:MARY & MARTHA TRANSPORTATION SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-733-0144
Mailing Address - Street 1:602 OVERTON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-4117
Mailing Address - Country:US
Mailing Address - Phone:615-733-0144
Mailing Address - Fax:615-733-0146
Practice Address - Street 1:602 OVERTON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4117
Practice Address - Country:US
Practice Address - Phone:615-733-0144
Practice Address - Fax:615-733-0146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)