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NPI Code Detail

MEDICARE: PRIMEPATH MEDICAL TRANSPORT

MEDICARE: PRIMEPATH MEDICAL TRANSPORT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1306775242
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMEPATH MEDICAL TRANSPORT
Provider Business Mailing Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 704-400-2447
Fax Number :
Authorized Official
Title or Position : CEO
Name : JHAVIER HENDERSON MONEY
Credential :
Telephone Number : 704-400-2447
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “PRIMEPATH MEDICAL TRANSPORT ” Practice Location

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