Healthcare Provider Details

I. General information

NPI: 1063353084
Provider Name (Legal Business Name): TROTTS RELIABLE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 MYRTLE AVE
GRANITE CITY IL
62040-5859
US

IV. Provider business mailing address

3002 MYRTLE AVE
GRANITE CITY IL
62040-5859
US

V. Phone/Fax

Practice location:
  • Phone: 314-337-4434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GEORGE TROTTER III
Title or Position: OWNER
Credential: TROTTER
Phone: 314-337-4434