Provider Demographics
NPI:1790360378
Name:XPRESS MEDICAL TRANSPORT, LLC.
Entity Type:Organization
Organization Name:XPRESS MEDICAL TRANSPORT, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-947-3882
Mailing Address - Street 1:207 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NC
Mailing Address - Zip Code:28327-6760
Mailing Address - Country:US
Mailing Address - Phone:910-947-3882
Mailing Address - Fax:910-728-4911
Practice Address - Street 1:207 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327-6760
Practice Address - Country:US
Practice Address - Phone:910-947-3882
Practice Address - Fax:910-728-4911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)