Healthcare Provider Details

I. General information

NPI: 1467146761
Provider Name (Legal Business Name): LET'S GO TRANSPORTATION SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023
Certification Date: 06/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 GROUND PINE DR
CHARLESTON SC
29414-8120
US

IV. Provider business mailing address

1816 GROUND PINE DR
CHARLESTON SC
29414-8120
US

V. Phone/Fax

Practice location:
  • Phone: 843-327-2011
  • Fax: 843-459-2717
Mailing address:
  • Phone: 843-327-2011
  • Fax: 843-459-2717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: CURTIS JEROME FLUDD
Title or Position: OWNER/CEO
Credential:
Phone: 843-327-2011