MEDICARE: ERICA TRANSPORTATION LLC

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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1740173814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERICA TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1407 SHILEY DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-6238
Country	:	US
Telephone Number	:	919-672-3567
Fax Number	:

Provider Business Practice Location Address
First Line	:	1407 SHILEY DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-6238
Country	:	US
Telephone Number	:	919-672-3567
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY EUGENE BENJAMIN
Credential	:
Telephone Number	:	919-672-3567

Provider Enumeration Date	:	05/29/2025
Last Update Date	:	05/29/2025

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