Provider Demographics
NPI:1043984404
Name:QUEEN CITY TOO TRANSPORTATION LLC
Entity Type:Organization
Organization Name:QUEEN CITY TOO TRANSPORTATION LLC
Other - Org Name:QUEEN CITY TOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:ECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-951-7797
Mailing Address - Street 1:3309 SUBURBAN TER
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-5080
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3309 SUBURBAN TER
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-5080
Practice Address - Country:US
Practice Address - Phone:704-951-7797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle