Provider Demographics
NPI:1255902284
Name:MED SOLUTIONS TRANSPORTATION LLC
Entity type:Organization
Organization Name:MED SOLUTIONS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-833-2797
Mailing Address - Street 1:22 HERITAGE DR STE 108
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-2502
Mailing Address - Country:US
Mailing Address - Phone:815-954-0141
Mailing Address - Fax:
Practice Address - Street 1:22 HERITAGE DR STE 108
Practice Address - Street 2:
Practice Address - City:BOURBONNAIS
Practice Address - State:IL
Practice Address - Zip Code:60914-2502
Practice Address - Country:US
Practice Address - Phone:815-954-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)