Provider Demographics
NPI:1750749883
Name:SIMON & SIMON SERVICES, LLC
Entity type:Organization
Organization Name:SIMON & SIMON SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-740-9353
Mailing Address - Street 1:PO BOX 4286
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-4286
Mailing Address - Country:US
Mailing Address - Phone:336-740-9353
Mailing Address - Fax:888-308-9237
Practice Address - Street 1:7800 AIRPORT CENTER DR
Practice Address - Street 2:401
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-9089
Practice Address - Country:US
Practice Address - Phone:336-740-9353
Practice Address - Fax:888-308-9237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus