Provider Demographics
NPI:1013269380
Name:COUNTY OF ANSON
Entity Type:Organization
Organization Name:COUNTY OF ANSON
Other - Org Name:ANSON COUNTY TRANSPORTATION SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD OF COMMISSIONERS CHAIRMAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BAUCOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-994-3201
Mailing Address - Street 1:PO BOX 672
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170-0672
Mailing Address - Country:US
Mailing Address - Phone:704-694-2596
Mailing Address - Fax:704-694-2795
Practice Address - Street 1:2485 HWY 74 WEST
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170
Practice Address - Country:US
Practice Address - Phone:704-694-2596
Practice Address - Fax:704-694-2795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)