Healthcare Provider Details

I. General information

NPI: 1801701925
Provider Name (Legal Business Name): HOLLOMAN TRANSIT CO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3731 S COLGATE AVE
SPRINGFIELD MO
65807-7406
US

IV. Provider business mailing address

3731 S COLGATE AVE
SPRINGFIELD MO
65807-7406
US

V. Phone/Fax

Practice location:
  • Phone: 417-315-2120
  • Fax:
Mailing address:
  • Phone: 417-315-2120
  • 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. JALEN T HOLLOMAN SR.
Title or Position: OWNER/DRIVER
Credential: HOLLOMAN
Phone: 417-315-2120