Provider Demographics
NPI:1265808489
Name:HBA SHUTTLE SERVICE LLC
Entity type:Organization
Organization Name:HBA SHUTTLE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:BRADFORD
Authorized Official - Last Name:AWKARD
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:540-942-1159
Mailing Address - Street 1:1425 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-3632
Mailing Address - Country:US
Mailing Address - Phone:540-942-1159
Mailing Address - Fax:540-946-6889
Practice Address - Street 1:1425 W 11TH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-3632
Practice Address - Country:US
Practice Address - Phone:540-942-1159
Practice Address - Fax:540-946-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)