Organization Active NPI

Logan Medical Transportation Service

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
National Provider Identifier
1750674941
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
24085411 Issued in NC
Legal business name
LOGAN MEDICAL TRANSPORTATION SERVICE
Practice address
10804 Azure Valley PL
Charlotte, NC 28269-9958
Phone
(704) 512-0770
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Mr. Kurt Williams
Title
Director
Phone
(434) 203-8879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 24085411 NC Primary

Addresses

Primary practice location

10804 Azure Valley PL
Charlotte, NC 28269-9958

Mailing address

5401 South Blvd Ste a
Suite 115
Charlotte, NC 28217-2741
Phone (704) 512-0770

National Provider Directory

National Provider Directory

Locations

5401 South Blvd
Ste A
Charlotte, NC 28217

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1750674941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SOUTH BLVD STE A",
            "address_2": "SUITE 115",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172741",
            "telephone_number": "704-512-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10804 AZURE VALLEY PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282699958",
            "telephone_number": "704-512-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN MEDICAL TRANSPORTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-203-8879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "24085411",
            "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 May 19, 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.