Provider Demographics
NPI:1659185858
Name:BLUE STAR TRANSIT
Entity type:Organization
Organization Name:BLUE STAR TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILFRED
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:MONCIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:903-209-9340
Mailing Address - Street 1:931 N WACO ST
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495-4433
Mailing Address - Country:US
Mailing Address - Phone:903-209-9340
Mailing Address - Fax:
Practice Address - Street 1:931 N WACO ST
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-4433
Practice Address - Country:US
Practice Address - Phone:903-209-9340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)