Provider Demographics
NPI:1225740681
Name:WESTGATE LOGISTICS INC
Entity Type:Organization
Organization Name:WESTGATE LOGISTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:OTTAREMUA
Authorized Official - Last Name:RONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-741-4753
Mailing Address - Street 1:808 BRIGHAM RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-3530
Mailing Address - Country:US
Mailing Address - Phone:919-741-4753
Mailing Address - Fax:919-930-8671
Practice Address - Street 1:808 BRIGHAM RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3530
Practice Address - Country:US
Practice Address - Phone:919-741-4753
Practice Address - Fax:919-930-8671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)