1346688967 NPI number — CBR TRANSPORT LLC

Table of content: (NPI 1346688967)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346688967 NPI number — CBR TRANSPORT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CBR TRANSPORT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346688967
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1250 SHARP HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARKPORT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14807-9502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-728-9019
Provider Business Mailing Address Fax Number:
607-968-8046

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1250 SHARP HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARKPORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14807-9502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-728-9019
Provider Business Practice Location Address Fax Number:
607-968-8046
Provider Enumeration Date:
06/05/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KILSDONK
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
S
Authorized Official Title or Position:
AUTHORIZED OFFICIAL SOLE PROPRIETOR
Authorized Official Telephone Number:
585-728-9019

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  976378559 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 03848024 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".