Healthcare Provider Details

I. General information

NPI: 1265701270
Provider Name (Legal Business Name): RELIABLE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 12/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 GASDEN HY SUITE 100
BIRMINGHAM AL
35235
US

IV. Provider business mailing address

213 GASDEN HY SUITE 100
BIRMINGHAM AL
35235
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-4848
  • Fax: 205-838-4847
Mailing address:
  • Phone: 205-838-4848
  • Fax: 205-838-4847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number000765980
License Number StateAL

VIII. Authorized Official

Name: CHARLENE T PUGH
Title or Position: CEO
Credential:
Phone: 205-838-4848