Healthcare Provider Details

I. General information

NPI: 1649223520
Provider Name (Legal Business Name): DRS TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 WALNUT ST
COLUMBIA PA
17512-1360
US

IV. Provider business mailing address

1051 WALNUT ST PO BOX 308
COLUMBIA PA
17512-1360
US

V. Phone/Fax

Practice location:
  • Phone: 717-823-6206
  • Fax: 717-684-2756
Mailing address:
  • Phone: 717-823-6206
  • Fax: 717-684-2756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberA-00121695
License Number StatePA

VIII. Authorized Official

Name: MR. ROBERT JAMES HETTER
Title or Position: MANAGER
Credential:
Phone: 717-823-6206