Organization
MEDIPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DELTHEMA ALLEN RN EMTI (PRESIDENT)
(252) 794-2561
Entity
Organization
Contact information
Practice address
344 SCHOOL ROAD, WINDSOR, NC 27983
(252) 794-2561
(252) 794-2558
Mailing address
344 SCHOOL ROAD, WINDSOR, NC 27983
(252) 794-2561
(252) 794-2558
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0081247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406652
—
NC
Enumeration date
02/16/2006
Last updated
08/22/2020
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