Provider Demographics
NPI:1982418695
Name:SPACE TRANSPORTATION CORPORATION
Entity type:Organization
Organization Name:SPACE TRANSPORTATION CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATERYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLOCHKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-688-2406
Mailing Address - Street 1:150 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8106
Mailing Address - Country:US
Mailing Address - Phone:774-688-2406
Mailing Address - Fax:
Practice Address - Street 1:150 GRANT ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8106
Practice Address - Country:US
Practice Address - Phone:774-688-2406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)