Provider Demographics
NPI:1215726351
Name:CAROLINA PREMIER TRANSPORT, & CO, LLC
Entity type:Organization
Organization Name:CAROLINA PREMIER TRANSPORT, & CO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CLARKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-723-0253
Mailing Address - Street 1:4984 BLUE BANKS LOOP RD NE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-8950
Mailing Address - Country:US
Mailing Address - Phone:919-723-0253
Mailing Address - Fax:
Practice Address - Street 1:4984 BLUE BANKS LOOP RD NE
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-8950
Practice Address - Country:US
Practice Address - Phone:919-723-0253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No332U00000XSuppliersHome Delivered Meals
No342000000XTransportation ServicesTransportation Network Company