Provider Demographics
NPI:1295260008
Name:THRASHER GLOBAL
Entity type:Organization
Organization Name:THRASHER GLOBAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THRASHER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:615-933-0928
Mailing Address - Street 1:17220 W 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2114
Mailing Address - Country:US
Mailing Address - Phone:615-933-0928
Mailing Address - Fax:615-933-0923
Practice Address - Street 1:17220 W 12 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2114
Practice Address - Country:US
Practice Address - Phone:615-933-0928
Practice Address - Fax:615-933-0923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-30
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)