Provider Demographics
NPI:1861227449
Name:TRIPLE B MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:TRIPLE B MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-541-3261
Mailing Address - Street 1:2676 ROCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:LA
Mailing Address - Zip Code:71417-5309
Mailing Address - Country:US
Mailing Address - Phone:318-541-3261
Mailing Address - Fax:
Practice Address - Street 1:2676 ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:LA
Practice Address - Zip Code:71417-5309
Practice Address - Country:US
Practice Address - Phone:318-541-3261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)