Provider Demographics
NPI:1003389388
Name:ADVANCE WHEELCHAIR TRANSPORT SERVICE
Entity Type:Organization
Organization Name:ADVANCE WHEELCHAIR TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:BAXTER
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-974-4647
Mailing Address - Street 1:83 HOLLYHOCK CT
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28731-9733
Mailing Address - Country:US
Mailing Address - Phone:828-974-4647
Mailing Address - Fax:828-696-4815
Practice Address - Street 1:83 HOLLYHOCK CT
Practice Address - Street 2:
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-9733
Practice Address - Country:US
Practice Address - Phone:828-974-4647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)