Provider Demographics
NPI:1053598953
Name:TECH TRANSPORT INC.
Entity type:Organization
Organization Name:TECH TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:DENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-454-0928
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201-0515
Mailing Address - Country:US
Mailing Address - Phone:570-454-0928
Mailing Address - Fax:
Practice Address - Street 1:343 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-6133
Practice Address - Country:US
Practice Address - Phone:570-454-0928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021172750001Medicaid
PA122752Medicare PIN
PAP00627150Medicare PIN