MEDICARE: TRIANGLE ACCESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1548974264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIANGLE ACCESS

Provider Business Mailing Address
First Line	:	921 TOWN CENTRE BLVD # 1022
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-2181
Country	:	US
Telephone Number	:	215-847-7858
Fax Number	:

Provider Business Practice Location Address
First Line	:	921 TOWN CENTRE BLVD # 1022
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-2181
Country	:	US
Telephone Number	:	215-847-7858
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARQUETTE FRIERSON
Credential	:	MS
Telephone Number	:	215-847-7858

Provider Enumeration Date	:	01/09/2023
Last Update Date	:	01/09/2023

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Directions to “TRIANGLE ACCESS ” Practice Location

Language	Start Address	Practice Location

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