Hayden Church

Primary specialty

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

License

2997905 Issued in NC

Practice address

29 Boone Trail
North Wilkesboro, NC 28659

Phone

(336) 903-1700

Fax

(336) 903-1701

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Mobility Specialists

  • Non-emergency Medical Transport (VAN)
  • North Wilkesboro, NC
  • NPI 1144674490
  NPD (past) Authorized official
• Clca Mobility Services LLC

  dba Carolina Mobility Services

  • Non-emergency Medical Transport (VAN)
  • North Wilkesboro, NC
  • NPI 1750113619
  NPD (past)

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1376997999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593512",
            "telephone_number": "336-903-1700",
            "fax_number": "336-903-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BOONE TRAIL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "28659",
            "telephone_number": "336-903-1700",
            "fax_number": "336-903-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "HAYDEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "2997905",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NC",
            "license": "2997905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Danielle Chapman
• Josephine Cheng, PHARM.D.
• Sireesha Chintapalli
• Christopher E. Roberts, DDS, PA
• Angie M Church, LCMHC
• Zbigniew Cichon, M.D.
• David Grant Clayton, FNP
• Clca Mobility Services LLC (Carolina Mobility Services)
• Nancy Michelle Cleary
• Cassandra Grace Clifford

• Non-emergency Medical Transport (VAN) in North Wilkesboro, NC
• Providers in North Wilkesboro, 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 Apr 20, 2016; 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.