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NPI Code Detail

MEDICARE: CMC TRANSPORTATION

MEDICARE: CMC TRANSPORTATION
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
1347B00000XBus
2343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1609426808
Entity Type Code : Organization
Provider Name (Legal Business Name) : CMC TRANSPORTATION
Provider Business Mailing Address
First Line : 1641 N MARKET DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6259
Country : US
Telephone Number : 919-618-2618
Fax Number :
Provider Business Practice Location Address
First Line : 1641 N MARKET DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-6259
Country : US
Telephone Number : 919-618-2618
Fax Number : 919-651-9716
Authorized Official
Title or Position : OPERATIONS SUPERVISOR
Name : JUNIOR LENWORTH DAVIS
Credential :
Telephone Number : 919-650-3754
Provider Enumeration Date : 09/19/2019
Last Update Date : 09/19/2019

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Directions to “CMC TRANSPORTATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.