Provider Demographics
NPI:1962717793
Name:ABILITY TRANSPORTATION, INC
Entity type:Organization
Organization Name:ABILITY TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:STEPHANIE
Authorized Official - Last Name:ERVIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:417-234-7073
Mailing Address - Street 1:1544 E WALNUT LAWN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-6412
Mailing Address - Country:US
Mailing Address - Phone:417-631-8944
Mailing Address - Fax:417-881-3144
Practice Address - Street 1:1544 E WALNUT LAWN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-6412
Practice Address - Country:US
Practice Address - Phone:417-631-8944
Practice Address - Fax:417-881-3144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4452OtherMEDICAL TRANSPORTATION MGMT
MOM531OtherNEMT BROKER-LOGISTICARE