Provider Demographics
NPI:1366785164
Name:GOFER TRANSPORTATION
Entity type:Organization
Organization Name:GOFER TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHIER
Authorized Official - Middle Name:
Authorized Official - Last Name:RESPES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-449-3190
Mailing Address - Street 1:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-0394
Mailing Address - Country:US
Mailing Address - Phone:856-449-3190
Mailing Address - Fax:856-258-2590
Practice Address - Street 1:820 W SOMERDALE RD
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-2442
Practice Address - Country:US
Practice Address - Phone:856-449-3190
Practice Address - Fax:856-258-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)