Provider Demographics
NPI:1023695012
Name:FAMIKS TRANSPORT INC
Entity type:Organization
Organization Name:FAMIKS TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EBOU
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKAREH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-229-2789
Mailing Address - Street 1:119 HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-6516
Mailing Address - Country:US
Mailing Address - Phone:910-322-1427
Mailing Address - Fax:810-229-2823
Practice Address - Street 1:119 HARVEST LN
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-6516
Practice Address - Country:US
Practice Address - Phone:910-322-1427
Practice Address - Fax:910-229-2823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC40384650Medicaid