Provider Demographics
NPI:1205671575
Name:S&M NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:S&M NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY REPRESENTITIVE
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALBINO
Authorized Official - Last Name:DENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-769-3142
Mailing Address - Street 1:9505 BRADFORD PEAR LN NW APT 5106
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-3756
Mailing Address - Country:US
Mailing Address - Phone:540-769-3142
Mailing Address - Fax:
Practice Address - Street 1:9505 BRADFORD PEAR LN NW APT 5106
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-3756
Practice Address - Country:US
Practice Address - Phone:540-769-3142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:S&M NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)