Provider Demographics
NPI:1861936031
Name:DASH USA INC
Entity type:Organization
Organization Name:DASH USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:PRENTISS
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-321-8828
Mailing Address - Street 1:1401 BLAIR MILL RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4853
Mailing Address - Country:US
Mailing Address - Phone:866-321-8828
Mailing Address - Fax:
Practice Address - Street 1:1401 BLAIR MILL RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4853
Practice Address - Country:US
Practice Address - Phone:888-642-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD343900000X
347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)