Healthcare Provider Details

I. General information

NPI: 1255761607
Provider Name (Legal Business Name): CENTURY BUS TRANSPORTAION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2013
Last Update Date: 11/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 OLD HOJACK LN SUITE 106
HILTON NY
14468-1150
US

IV. Provider business mailing address

10 OLD HOJACK LN SUITE 106
HILTON NY
14468
US

V. Phone/Fax

Practice location:
  • Phone: 585-235-7516
  • Fax: 585-235-7799
Mailing address:
  • Phone: 585-235-7516
  • Fax: 585-235-7799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateNY

VIII. Authorized Official

Name: GUY M FOLWELL
Title or Position: MANAGER
Credential:
Phone: 585-235-7777