Organization
COUNTY OF IREDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JOHNSON (TRANSPORTATION DIRECTOR)
(704) 880-0576
Entity
Organization
Contact information
Practice address
2611 EBONY CIR, STATESVILLE, NC 28625-6401
(704) 873-9393
Mailing address
PO BOX 788, STATESVILLE, NC 28687-0788
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
03/21/2023
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