Provider Demographics
NPI:1255333134
Name:OC3 INC
Entity Type:Organization
Organization Name:OC3 INC
Other - Org Name:PREFERRED MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURE
Authorized Official - Prefix:MR
Authorized Official - First Name:VANDERBILL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:252-345-8317
Mailing Address - Street 1:105 S COMMERCE ST
Mailing Address - Street 2:PO BOX 789
Mailing Address - City:AULANDER
Mailing Address - State:NC
Mailing Address - Zip Code:27805-9101
Mailing Address - Country:US
Mailing Address - Phone:252-345-8317
Mailing Address - Fax:252-345-8318
Practice Address - Street 1:105 S COMMERCE ST
Practice Address - Street 2:
Practice Address - City:AULANDER
Practice Address - State:NC
Practice Address - Zip Code:27805-9101
Practice Address - Country:US
Practice Address - Phone:252-345-8317
Practice Address - Fax:252-345-8318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0081256341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406826Medicaid
NC073CEOtherBLUE CROSS BLUE SHIELD
NC3406826Medicaid