Healthcare Provider Details

I. General information

NPI: 1871376145
Provider Name (Legal Business Name): BE SAFE TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3927 MARY ST
DREXEL HILL PA
19026-2820
US

IV. Provider business mailing address

1126 BROAD ST
COLLINGDALE PA
19023-4124
US

V. Phone/Fax

Practice location:
  • Phone: 484-326-4555
  • Fax:
Mailing address:
  • Phone: 484-326-4555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL

VIII. Authorized Official

Name: RALPH BASTIEN
Title or Position: OWNER
Credential:
Phone: 484-326-4555