Healthcare Provider Details

I. General information

NPI: 1366361610
Provider Name (Legal Business Name): EXPRESSWAY TRANSPORT SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CREECH ST APT B
GOLDSBORO NC
27530-5981
US

IV. Provider business mailing address

410 B CREECH STREET
GOLDSBORO NC
27530
US

V. Phone/Fax

Practice location:
  • Phone: 984-304-2123
  • Fax:
Mailing address:
  • Phone: 984-304-2123
  • Fax:

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: MS. SHUNITA HILL
Title or Position: OWNER
Credential:
Phone: 984-304-2123