Organization
PROVIDENCE TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STEVENS (PRESIDENT)
(336) 508-6322
Entity
Organization
Contact information
Practice address
7385 RIDGE RD, LEXINGTON, NC 27295-5796
(336) 472-7433
Mailing address
7902 SOUTHERLAND DR, BROWNS SUMMIT, NC 27214-9564
(336) 508-6322
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40333552
—
NC
Enumeration date
01/02/2020
Last updated
01/02/2020
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