Provider Demographics
NPI:1235973421
Name:B&N TRANSPORTATION
Entity type:Organization
Organization Name:B&N TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRAINERD
Authorized Official - Middle Name:EDMILSON
Authorized Official - Last Name:RODRIGUEZ AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-774-5635
Mailing Address - Street 1:69155 DINAH SHORE DR APT 54
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-4794
Mailing Address - Country:US
Mailing Address - Phone:760-774-5635
Mailing Address - Fax:
Practice Address - Street 1:69155 DINAH SHORE DR APT 54
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-4794
Practice Address - Country:US
Practice Address - Phone:760-774-5635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)