1598132656 NPI number — SPECIALTY TRANSPORTATION SYSTEMS, INC.

Table of content: (NPI 1598132656)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598132656 NPI number — SPECIALTY TRANSPORTATION SYSTEMS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPECIALTY TRANSPORTATION SYSTEMS, INC.
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:
6
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:
1598132656
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2720 N MAIN AVE
Provider Second Line Business Mailing Address:
P O BOX 334
Provider Business Mailing Address City Name:
NEWTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28658-2732
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-464-9738
Provider Business Mailing Address Fax Number:
828-464-3219

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2720 N MAIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28658-2732
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-464-9738
Provider Business Practice Location Address Fax Number:
828-464-3219
Provider Enumeration Date:
08/25/2015

Additional Information

Authorized Official

Authorized Official Last Name:
WARREN
Authorized Official First Name:
KAREY
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
PRESIDEN
Authorized Official Telephone Number:
828-464-9738

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X , with the licence number:  001822144 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 347C00000X , with the licence number: 001822144 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com