AGILE SPECIALTY TRANSPORTATION LLC NPI 1205154002

NPI Information

  • NPI: 1205154002
  • Provider Name: AGILE SPECIALTY TRANSPORTATION, LLC
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • Address: 320 BROOKES DR STE 212
    HAZELWOOD, MO
    ZIP 63042
  • Phone: (314) 443-7565

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NPI Details

AGILE SPECIALTY TRANSPORTATION, LLC is a non emergency medical transport van in Hazelwood, MO. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. AGILE SPECIALTY TRANSPORTATION, LLC NPI is 1205154002. The provider is registered as an organization entity type.

The provider's business location address is:

320 BROOKES DR STE 212
HAZELWOOD, MO
ZIP 63042-740
Phone: (314) 443-7565
Fax: (314) 355-5130

The provider's authorized official is Feonn L. Randall .
The authorized official title is Operations Mgr. and has the following contact phone number (314) 443-7565.

The enumeration date for this NPI number is 5/4/2010 and was last updated on 5/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulanceLC0888387MISSOURINo
2343900000XNon-emergency Medical Transport (VAN)LC0888387MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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