Organization Active NPI

Calvary Transportation Services

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1194384206
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CALVARY TRANSPORTATION SERVICES
Practice address
5513 Monroe Rd # 201
Charlotte, NC 28212-5503
Phone
(704) 912-5004
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Fabeyonka Pagan
Title
Member
Phone
(980) 475-7621

Specialties & licenses 1

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

Addresses

Primary practice location

5513 Monroe Rd # 201
Charlotte, NC 28212-5503

Mailing address

PO Box 690001
Mint Hill, NC 28227-7000
Phone (980) 475-7621

National Provider Directory

National Provider Directory

Locations

5513 Monroe Rd
#201
Charlotte, NC 28212
Phone (704) 912-5004

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1194384206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690001",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277000",
            "telephone_number": "980-475-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 MONROE RD # 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125503",
            "telephone_number": "704-912-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY TRANSPORTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "FABEYONKA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "980-475-7621"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.