Provider Demographics
NPI:1356740666
Name:WHEELCHAIR TRANSIT LLC
Entity type:Organization
Organization Name:WHEELCHAIR TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-380-4331
Mailing Address - Street 1:1212 S LAWSON ST
Mailing Address - Street 2:APT. B6
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-7775
Mailing Address - Country:US
Mailing Address - Phone:605-725-2121
Mailing Address - Fax:
Practice Address - Street 1:1212 S LAWSON ST
Practice Address - Street 2:APT. B6
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-7775
Practice Address - Country:US
Practice Address - Phone:605-725-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)