Healthcare Provider Details

I. General information

NPI: 1922579952
Provider Name (Legal Business Name): VALLEY TRANSPORTATION CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

664 FRONT ST
WOONSOCKET RI
02895-5214
US

IV. Provider business mailing address

664 FRONT ST
WOONSOCKET RI
02895-5214
US

V. Phone/Fax

Practice location:
  • Phone: 401-766-5900
  • Fax: 401-762-9295
Mailing address:
  • Phone: 401-766-5900
  • Fax: 401-762-9295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLILAM LEGARE
Title or Position: SECRETARY
Credential:
Phone: 401-766-5900