Provider Demographics
NPI:1992588255
Name:SCOOT TRANSPORT LLC
Entity type:Organization
Organization Name:SCOOT TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:REDFEATHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-313-5339
Mailing Address - Street 1:PO BOX 2196
Mailing Address - Street 2:
Mailing Address - City:SHIPROCK
Mailing Address - State:NM
Mailing Address - Zip Code:87420-2196
Mailing Address - Country:US
Mailing Address - Phone:480-313-5339
Mailing Address - Fax:
Practice Address - Street 1:MESA FARM ROAD 1ST WASH
Practice Address - Street 2:
Practice Address - City:SHIPROCK
Practice Address - State:NM
Practice Address - Zip Code:87420-2196
Practice Address - Country:US
Practice Address - Phone:480-313-5339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)