Provider Demographics
NPI:1871712695
Name:REGIONAL TRANSIT AUTHORITY
Entity type:Organization
Organization Name:REGIONAL TRANSIT AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TOLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-262-7920
Mailing Address - Street 1:522 10TH AVE E
Mailing Address - Street 2:PO BOX 1240
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-5001
Mailing Address - Country:US
Mailing Address - Phone:712-262-7920
Mailing Address - Fax:
Practice Address - Street 1:522 10TH AVE E
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301-5001
Practice Address - Country:US
Practice Address - Phone:712-262-7920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0105684Medicaid