Provider Demographics
NPI:1801113113
Name:GROMEDS TO GO TRANSPORTATION INC
Entity type:Organization
Organization Name:GROMEDS TO GO TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:MCCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:336-582-6854
Mailing Address - Street 1:8025 N POINT BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3752
Mailing Address - Country:US
Mailing Address - Phone:336-553-6503
Mailing Address - Fax:336-218-6829
Practice Address - Street 1:8025 N POINT BLVD STE 105
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3752
Practice Address - Country:US
Practice Address - Phone:336-553-6503
Practice Address - Fax:336-218-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
NC10454172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty