Provider Demographics
NPI:1689967507
Name:BRI TRANSPORTATION
Entity Type:Organization
Organization Name:BRI TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER
Authorized Official - Prefix:
Authorized Official - First Name:IDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-558-5715
Mailing Address - Street 1:P O BOX 61
Mailing Address - Street 2:
Mailing Address - City:MCLEANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27301
Mailing Address - Country:US
Mailing Address - Phone:336-558-5715
Mailing Address - Fax:
Practice Address - Street 1:2671 HUFFINE MILL RD
Practice Address - Street 2:
Practice Address - City:MC LEANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27301-9116
Practice Address - Country:US
Practice Address - Phone:336-558-5715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235222343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)