1982267092 NPI number — TARHEELBLUETRANSPORTATION LLC

Table of content: (NPI 1982267092)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982267092 NPI number — TARHEELBLUETRANSPORTATION LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TARHEELBLUETRANSPORTATION LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
TARHEEL BLUE TRANSPORTATION LLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982267092
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7 ELSWORTH CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCLEANSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-512-3381
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 ELSWORTH CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MC LEANSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27301-9308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-512-3381
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/16/2019

Additional Information

Authorized Official

Authorized Official Last Name:
CHELLEY
Authorized Official First Name:
SHABAZZ
Authorized Official Middle Name:
JAMA
Authorized Official Title or Position:
OWNER/ OPERATOR
Authorized Official Telephone Number:
336-512-3381

Provider Taxonomy Codes

  • Taxonomy code: 163WP2201X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 344600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com