Provider Demographics
NPI:1861156259
Name:A STELLA TRANSPORT
Entity type:Organization
Organization Name:A STELLA TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRMINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-513-4602
Mailing Address - Street 1:2556 SENECA AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-3246
Mailing Address - Country:US
Mailing Address - Phone:716-513-4602
Mailing Address - Fax:716-371-0960
Practice Address - Street 1:2556 SENECA AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305-3246
Practice Address - Country:US
Practice Address - Phone:716-513-4602
Practice Address - Fax:716-371-0960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)