Tri County Medical Transport Inc

Primary specialty

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

License

1614 Issued in NC

Legal business name

TRI COUNTY MEDICAL TRANSPORT INC

Practice address

551 Hill Road
Chocowinity, NC 27817-0708

Phone

(252) 974-7600

Fax

(252) 974-7600

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Donell W MooreNPI 1477676260

Title

Owner

Phone

(252) 974-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donell Webster Moore, EMT

  • Non-emergency Medical Transport (VAN)
  • Chocowinity, NC
  • NPI 1477676260
  NPD (past) Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1114124450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170708",
            "telephone_number": "252-974-7600",
            "fax_number": "252-974-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 HILL ROAD",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170708",
            "telephone_number": "252-974-7600",
            "fax_number": "252-974-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DONELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-974-7600"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "1614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damaris Charyti Rogers
• Sheila Harvey Smith, DNP, ANP, PMHNP
• Strategies for Life Counseling PC
• Lauren Harris Toler, BSN,CEN,SANE-A/P
• Town of Chocowinity
• Shannon Courtney Whitehurst, D.C.
• Willow Manor
• Britney Alligood Woods, FNP

• Non-emergency Medical Transport (VAN) in Chocowinity, NC
• Providers in Chocowinity, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.