Provider Demographics
NPI:1174975247
Name:ROAD RUNNER EXPRESS INC.
Entity type:Organization
Organization Name:ROAD RUNNER EXPRESS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:DALKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-525-1995
Mailing Address - Street 1:PO BOX 1572
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0029
Mailing Address - Country:US
Mailing Address - Phone:509-525-1995
Mailing Address - Fax:
Practice Address - Street 1:255 A ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-8497
Practice Address - Country:US
Practice Address - Phone:509-525-1995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-12
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)