Provider Demographics
NPI:1740902253
Name:A.D. MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:A.D. MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:RAYSHAWN
Authorized Official - Last Name:DUNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-594-2066
Mailing Address - Street 1:PO BOX 26321
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27114-6321
Mailing Address - Country:US
Mailing Address - Phone:336-594-2066
Mailing Address - Fax:
Practice Address - Street 1:1516 MARINERS CT
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27127-7021
Practice Address - Country:US
Practice Address - Phone:336-491-6578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)