Organization Active NPI

Ez Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Scotland Neck, NC
National Provider Identifier
1104052885
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EZ MEDICAL TRANSPORTATION, LLC
Practice address
769 Edwards Fork Rd
Scotland Neck, NC 27874-8469
Phone
(252) 578-2066
Fax
(252) 826-3298
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Mrs. Ivy Fletie Caudle, RN
Title
Owner
Phone
(252) 578-2066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

769 Edwards Fork Rd
Scotland Neck, NC 27874-8469

Mailing address

769 Edwards Fork Rd
Scotland Neck, NC 27874-8469
Phone (252) 578-2066

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1104052885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 EDWARDS FORK RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278748469",
            "telephone_number": "252-578-2066",
            "fax_number": "252-826-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 EDWARDS FORK RD",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278748469",
            "telephone_number": "252-578-2066",
            "fax_number": "252-826-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "CAUDLE",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "FLETIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-578-2066",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotland Neck, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.