Organization Active NPI

Innercity Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Indian Trail, NC
National Provider Identifier
1710491618
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
INNERCITY TRANSPORTATION LLC
Practice address
13601 E Independence Blvd
Indian Trail, NC 28079-8699
Phone
(704) 712-6125
NPI assigned
Nov 30, 2017
Last updated
Nov 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Authorized official

Name
Oludotun O Fajobi
Title
Co-Owner
Phone
(704) 712-6125

Specialties & licenses 1

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

Addresses

Primary practice location

13601 E Independence Blvd
Indian Trail, NC 28079-8699

Mailing address

5411 Wyalong Dr
Charlotte, NC 28227-7840
Phone (704) 712-6125

National Provider Directory

National Provider Directory

Locations

13601 E Independence Blvd
Indian Trail, NC 28079
Phone (704) 712-6125

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1710491618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 WYALONG DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277840",
            "telephone_number": "704-712-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 E INDEPENDENCE BLVD",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280798699",
            "telephone_number": "704-712-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERCITY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "FAJOBI",
        "authorized_official_first_name": "OLUDOTUN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-712-6125"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; 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.