Black Car Service

LBN: Clay Transportation Inc
Black Car Service is an health care organization with primary practice located at 1831 Grand Concourse Frnt C , Bronx NY 10453-6324. The organization recently has only one registered license in Other Service Providers / Driver, which is considered as the primary health care specialty. Clay Transportation Inc can be contacted via phone (718) 942-5544, or through Pena, Juan via phone (718) 710-0953.

Contact Information

Primary practice address
1831 Grand Concourse Frnt C Bronx NY 10453-6324
Phone: (718) 942-5544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pena, Juan
Phone: (718) 710-0953

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X B03123

Profile Details

NPI number 1063992873
LBN Legal business name Clay Transportation Inc
DBA Doing business as Black Car Service
Authorized official Pena, Juan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2018
Last updated Aug 21st, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063992873 NPPES
New York MEDICAID 04026528

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