Organization
EXECUTIVE MEDICAL TRANSPORTATION, LTD
Active
Other names
Executive Medical Transportation, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCRETIA ANN BROWN (MEDICAL TRANSPORT DIRECTOR/OWNER)
(240) 501-5189
Entity
Organization
Contact information
Practice address
222 MILL CREEK RD, POLLOCKSVILLE, NC 28573-9312
(240) 501-5189
(803) 569-6735
Mailing address
6938 FAUST ST, COLUMBIA, SC 29223-7529
(240) 501-5189
(803) 569-6735
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
NC
3416L0300X
Land Ambulance
—
NC
343800000X
Secured Medical Transport (VAN)
—
NC
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NC
344600000X
Taxi
—
NC
347E00000X
Transportation Broker
—
NC
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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