Organization Active NPI

Mavuno,LLC

  • Non-emergency Medical Transport (VAN)
  • Fayetteville, NC
National Provider Identifier
1477851129
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MAVUNO,LLC
Practice address
3350 Footbridge LN
Suite124/125
Fayetteville, NC 28306-9694
Phone
(910) 797-9053
NPI assigned
Mar 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Jerry Christopher Towns
Title
Owner
Phone
(910) 797-9053

Specialties & licenses 1

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

Addresses

Primary practice location

3350 Footbridge LN
Suite124/125
Fayetteville, NC 28306-9694

Mailing address

3350 Footbridge LN
Suite124/125
Fayetteville, NC 28306-9694
Phone (910) 797-9053

National Provider Directory

National Provider Directory

Locations

3350 Footbridge Ln
Ste 124125
Fayetteville, NC 28306
Phone (910) 797-9053

NPI Registry JSON

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1477851129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 FOOTBRIDGE LN",
            "address_2": "SUITE124/125",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069694",
            "telephone_number": "910-797-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 FOOTBRIDGE LN",
            "address_2": "SUITE124/125",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069694",
            "telephone_number": "910-797-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVUNO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "TOWNS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-797-9053"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.