Healthcare Provider Details

I. General information

NPI: 1497404651
Provider Name (Legal Business Name): HERMES TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 LEE ST
CHARLOTTE NC
28214-2717
US

IV. Provider business mailing address

PO BOX 190
PAW CREEK NC
28130-0190
US

V. Phone/Fax

Practice location:
  • Phone: 980-269-0008
  • Fax:
Mailing address:
  • Phone: 980-269-0008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: CLARENCE TAYLOR
Title or Position: C.E.O
Credential:
Phone: 980-269-0008