Provider Demographics
NPI:1972340693
Name:C.D HUNTER TRANSPORTATION LLC
Entity type:Organization
Organization Name:C.D HUNTER TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEISHIA
Authorized Official - Middle Name:LAWANN
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-779-2614
Mailing Address - Street 1:917 SUTHERLY DR SE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-8305
Mailing Address - Country:US
Mailing Address - Phone:704-779-2614
Mailing Address - Fax:
Practice Address - Street 1:917 SUTHERLY DR SE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-8305
Practice Address - Country:US
Practice Address - Phone:704-779-2614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)