Provider Demographics
NPI:1548028582
Name:VINYARD BAIRN TRANSPORTATION CO
Entity type:Organization
Organization Name:VINYARD BAIRN TRANSPORTATION CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OMUKUBA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:574-386-9545
Mailing Address - Street 1:2772 CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-9007
Mailing Address - Country:US
Mailing Address - Phone:574-386-9545
Mailing Address - Fax:
Practice Address - Street 1:2772 CANTERBURY DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-9007
Practice Address - Country:US
Practice Address - Phone:574-386-9545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No3416L0300XTransportation ServicesAmbulanceLand Transport
No344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker