Provider Demographics
NPI:1851966477
Name:CENTRAL ONE
Entity Type:Organization
Organization Name:CENTRAL ONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-279-2008
Mailing Address - Street 1:2100 LAKE DAM RD # 37732
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-4240
Mailing Address - Country:US
Mailing Address - Phone:919-279-2008
Mailing Address - Fax:
Practice Address - Street 1:4607 ASTERWOOD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3742
Practice Address - Country:US
Practice Address - Phone:919-995-8219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No333300000XSuppliersEmergency Response System Companies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)