Provider Demographics
NPI:1861704736
Name:C&N TRANSPORTATION
Entity type:Organization
Organization Name:C&N TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARNICE
Authorized Official - Middle Name:NOELL
Authorized Official - Last Name:GASTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-595-0097
Mailing Address - Street 1:11336 S CALUMET AVE
Mailing Address - Street 2:BSMT
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-5019
Mailing Address - Country:US
Mailing Address - Phone:773-595-0097
Mailing Address - Fax:
Practice Address - Street 1:11336 S CALUMET AVE
Practice Address - Street 2:BSMT
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-5019
Practice Address - Country:US
Practice Address - Phone:773-595-0097
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)