Healthcare Provider Details

I. General information

NPI: 1376697110
Provider Name (Legal Business Name): BIGELOW TRANSPORT,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1238 JAMESTOWNE DR
ELON NC
27244-8322
US

IV. Provider business mailing address

PO BOX 777
ELON NC
27244-0777
US

V. Phone/Fax

Practice location:
  • Phone: 336-269-1353
  • Fax: 336-524-0245
Mailing address:
  • Phone: 336-269-1353
  • Fax: 336-524-0245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. TERENCE LEON BIGELOW
Title or Position: OWNER
Credential:
Phone: 336-269-1353