Provider Demographics
NPI:1568206084
Name:F.O.A.M.S TRANSPORTATION LLC
Entity type:Organization
Organization Name:F.O.A.M.S TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CORNELIUS
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:574-208-7386
Mailing Address - Street 1:2226 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46615-2540
Mailing Address - Country:US
Mailing Address - Phone:574-387-5989
Mailing Address - Fax:574-855-4631
Practice Address - Street 1:2226 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46615-2540
Practice Address - Country:US
Practice Address - Phone:574-387-5989
Practice Address - Fax:574-855-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)