Provider Demographics
NPI:1942674643
Name:PARKWEST TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:PARKWEST TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:PATYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-678-6800
Mailing Address - Street 1:PO BOX 251
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46017-0251
Mailing Address - Country:US
Mailing Address - Phone:317-678-6800
Mailing Address - Fax:505-833-2580
Practice Address - Street 1:4801 E COUNTY ROAD 67 LOT 231
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46017-9110
Practice Address - Country:US
Practice Address - Phone:317-678-6800
Practice Address - Fax:505-833-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)