Provider Demographics
NPI:1871339788
Name:PEN TRANSPORT LLC
Entity type:Organization
Organization Name:PEN TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-720-0720
Mailing Address - Street 1:732 THIMBLE SHOALS BLVD STE 302A
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4259
Mailing Address - Country:US
Mailing Address - Phone:757-720-0720
Mailing Address - Fax:
Practice Address - Street 1:732 THIMBLE SHOALS BLVD STE 302A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4259
Practice Address - Country:US
Practice Address - Phone:757-720-0720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)