1821433301 NPI number — MEDEX MEDICAL TRANSPORT SERVICE, INC.

Table of content: (NPI 1821433301)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821433301 NPI number — MEDEX MEDICAL TRANSPORT SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDEX MEDICAL TRANSPORT SERVICE, INC.
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:
Provider Other Organization Name Type Code:
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:
1821433301
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 506
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AHOSKIE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27910-0506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-332-4555
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
805 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLIAMSTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27892-2649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-332-4555
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2013

Additional Information

Authorized Official

Authorized Official Last Name:
GREENE
Authorized Official First Name:
MELODY
Authorized Official Middle Name:
JUNE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
252-332-4555

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1752 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com