Provider Demographics
NPI:1972137321
Name:FLETCHER TRANSPORTS LLC
Entity type:Organization
Organization Name:FLETCHER TRANSPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TENESICA
Authorized Official - Middle Name:DESHOUS
Authorized Official - Last Name:BOLDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-629-8822
Mailing Address - Street 1:3661 BRAINERD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-3695
Mailing Address - Country:US
Mailing Address - Phone:423-629-8822
Mailing Address - Fax:423-629-8822
Practice Address - Street 1:3661 BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-3695
Practice Address - Country:US
Practice Address - Phone:423-629-8822
Practice Address - Fax:423-629-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)