Organization
BLUE ORCHID MEDICAL TRANSIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ATTLEE ALBERT CONNOR (MANAGING MEMBER)
(813) 334-2997
Entity
Organization
Contact information
Practice address
3405 MOGOLLON CT, RALEIGH, NC 27610-6467
(984) 269-7045
Mailing address
PO BOX 14371, RALEIGH, NC 27620-4371
(984) 269-7045
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
—
—
3416S0300X
Water Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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