Organization Active NPI

Med-Ride of the Triad, Inc

  • Transportation Network Company
  • Jamestown, NC
National Provider Identifier
1346939634
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
Legal business name
MED-RIDE OF THE TRIAD, INC
Practice address
3104 Peninsula Dr
Jamestown, NC 27282-7503
Phone
(336) 402-3611
NPI assigned
May 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Tiffany Princess McCoy
Title
President
Phone
(336) 402-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Network Company 342000000X Primary

Addresses

Primary practice location

3104 Peninsula Dr
Jamestown, NC 27282-7503

Mailing address

3104 Peninsula Dr
Jamestown, NC 27282-7503
Phone (336) 402-3611

Other names 1

  • Med-Ride Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1346939634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 PENINSULA DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827503",
            "telephone_number": "336-402-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 PENINSULA DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272827503",
            "telephone_number": "336-402-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-RIDE OF THE TRIAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "PRINCESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-402-3611"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Ride",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jamestown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.