Healthcare Provider Details

I. General information

NPI: 1013222579
Provider Name (Legal Business Name): YELLOW TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E PIEDMONT ST
KEYSER WV
26726-3125
US

IV. Provider business mailing address

210 E PIEDMONT ST
KEYSER WV
26726-3125
US

V. Phone/Fax

Practice location:
  • Phone: 304-788-3531
  • Fax: 304-788-6528
Mailing address:
  • Phone: 304-788-3531
  • Fax: 304-788-6528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GLEN M LEE
Title or Position: PRESIDENT
Credential:
Phone: 304-788-3531