Healthcare Provider Details

I. General information

NPI: 1720817257
Provider Name (Legal Business Name): DOTS TRANSPORTATION SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2024
Last Update Date: 08/01/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 WEST MAIN ST
SPRING HOPE NC
27882-7889
US

IV. Provider business mailing address

DOTS TRANSPORTATION SERVICE 307 N PINE ST
SPRING HOPE NC
27882-7889
US

V. Phone/Fax

Practice location:
  • Phone: 704-977-5225
  • Fax: 252-478-5537
Mailing address:
  • Phone: 704-977-5225
  • Fax: 252-478-5537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. SHALAKEE B EDWARDS
Title or Position: OWNER
Credential:
Phone: 704-977-5225