Healthcare Provider Details

I. General information

NPI: 1750749883
Provider Name (Legal Business Name): SIMON & SIMON SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 02/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 AIRPORT CENTER DR 401
GREENSBORO NC
27409-9089
US

IV. Provider business mailing address

PO BOX 4286
CARY NC
27519-4286
US

V. Phone/Fax

Practice location:
  • Phone: 336-740-9353
  • Fax: 888-308-9237
Mailing address:
  • Phone: 336-740-9353
  • Fax: 888-308-9237

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 Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS WESTRY
Title or Position: MANAGER
Credential:
Phone: 336-740-9353