Healthcare Provider Details

I. General information

NPI: 1699209593
Provider Name (Legal Business Name): ROYAL HEALTH TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2017
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2249 N MAIN ST
TARBORO NC
27886-2106
US

IV. Provider business mailing address

2249 N MAIN ST
TARBORO NC
27886-2106
US

V. Phone/Fax

Practice location:
  • Phone: 252-907-2737
  • Fax:
Mailing address:
  • Phone: 252-907-2737
  • 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 Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: MARY HYMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 252-548-0578