Provider Demographics
NPI:1174081863
Name:MANAGED TRANSPORTATION SERVICES, INC.
Entity type:Organization
Organization Name:MANAGED TRANSPORTATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:MANZELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-793-3400
Mailing Address - Street 1:PO BOX 866
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-0866
Mailing Address - Country:US
Mailing Address - Phone:860-793-3400
Mailing Address - Fax:860-793-2179
Practice Address - Street 1:68 DIAMOND AVE
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2904
Practice Address - Country:US
Practice Address - Phone:860-793-3400
Practice Address - Fax:860-793-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-12
Last Update Date:2019-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)