Provider Demographics
NPI:1972229599
Name:CABARRUS MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CABARRUS MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCASA, LCMHCA
Authorized Official - Phone:919-605-2157
Mailing Address - Street 1:1480 CONCORD PKWY N STE 350 #1109
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025
Mailing Address - Country:US
Mailing Address - Phone:919-605-2157
Mailing Address - Fax:
Practice Address - Street 1:210 S MAIN ST APT 414
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-3227
Practice Address - Country:US
Practice Address - Phone:919-605-2157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle