Dedicated Non-Emergency Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2008018597 Issued in GA

Legal business name

DEDICATED NON-EMERGENCY TRANSPORTATION, LLC

Practice address

2381 Walkers Glen LN
Buford, GA 30519-9205

Phone

(770) 831-3009

Fax

(678) 278-0944

NPI assigned

May 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wardale Birch

Title

Ceo

Phone

(770) 831-3009

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1003073453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 WALKERS GLEN LN",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305199205",
            "telephone_number": "770-831-3009",
            "fax_number": "678-278-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 WALKERS GLEN LN",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305199205",
            "telephone_number": "770-831-3009",
            "fax_number": "678-278-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED NON-EMERGENCY TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "WARDALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-831-3009"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "2008018597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Buford, GA
• Providers in Buford, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.