Organization
PRIME CARE MEDICAL TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBY PERKINS-WELLS (OPERATIONS OFFICER)
(704) 682-9804
Entity
Organization
Contact information
Practice address
120 DALLAS LN, STATESVILLE, NC 28677-9779
(704) 682-9804
Mailing address
120 DALLAS LN, STATESVILLE, NC 28677-9779
(704) 682-9804
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40432391
—
NC
01
—
7752D-FD6C56C6
STRETCHER SERVICES
NC
Enumeration date
03/07/2023
Last updated
05/19/2024
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