Provider Demographics
NPI:1851348569
Name:AAA TRANSPORT INC
Entity Type:Organization
Organization Name:AAA TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARTELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-620-9889
Mailing Address - Street 1:PO BOX 71779
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27722-1779
Mailing Address - Country:US
Mailing Address - Phone:919-620-9889
Mailing Address - Fax:919-620-0778
Practice Address - Street 1:210 S HOOVER RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-3353
Practice Address - Country:US
Practice Address - Phone:919-620-9889
Practice Address - Fax:919-620-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406823Medicaid
NC3406823Medicaid