Boetheo Transportation

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

BOETHEO TRANSPORTATION

Practice address

3301 N FM 1417 Apt 1414
Sherman, TX 75092-3468

Phone

(469) 975-9535

NPI assigned

Mar 7, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Warren G Clark Jr.

Title

Owner

Phone

(469) 975-9535

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Waren G Clark Jr.

  • Non-emergency Medical Transport (VAN)
  • Sherman, TX
  • NPI 1104393834

  Private Vehicle

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1003374125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N FM 1417 APT 1414",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923468",
            "telephone_number": "469-975-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N FM 1417 APT 1414",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923468",
            "telephone_number": "469-975-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOETHEO TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-975-9535",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Haven Medical Supply, Inc.
• Camryn Boatman
• Bethany Boatner
• Melody Lynn Bock, LPC
• Keri Lynn Boehm
• Sandra Dee Bollier, APRN
• Bonham Medical Institute, P.a.
• Shawn Michael Booe, CSFA
• Boomercare PLLC
• Thomas E Boothe Jr., M.D.

• Private Vehicle in Sherman, TX
• Providers in Sherman, TX by specialty
• Private Vehicle in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.