| Name | Value |
|---|---|
| PROVIDER TYPE | Transportation Services |
| CLASSIFICATION | Private Vehicle |
| DEFINITION | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| STATUS | Active |
| X12 CODE | 347C00000X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5256008 |
| EFFECTIVE DATE/TIME |
|