Provider Demographics
NPI:1144629502
Name:CENTRAL TEXAS RURAL TRANSIT DISTRICT
Entity type:Organization
Organization Name:CENTRAL TEXAS RURAL TRANSIT DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:325-625-4491
Mailing Address - Street 1:PO BOX 712
Mailing Address - Street 2:
Mailing Address - City:COLEMAN
Mailing Address - State:TX
Mailing Address - Zip Code:76834-0712
Mailing Address - Country:US
Mailing Address - Phone:325-625-4491
Mailing Address - Fax:325-625-5044
Practice Address - Street 1:2310 S CONCHO ST
Practice Address - Street 2:
Practice Address - City:COLEMAN
Practice Address - State:TX
Practice Address - Zip Code:76834-7314
Practice Address - Country:US
Practice Address - Phone:325-625-4491
Practice Address - Fax:325-625-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)