Provider Demographics
NPI:1275885659
Name:COUNTY OF LEE
Entity Type:Organization
Organization Name:COUNTY OF LEE
Other - Org Name:COUNTY OF LEE TRANSIT SYSTEM
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-775-5557
Mailing Address - Street 1:PO BOX 1968
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27331-1968
Mailing Address - Country:US
Mailing Address - Phone:919-776-0501
Mailing Address - Fax:919-774-7593
Practice Address - Street 1:1615 S 3RD ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5663
Practice Address - Country:US
Practice Address - Phone:919-776-0501
Practice Address - Fax:919-774-7593
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF LEE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)