MEDICARE: E & F MEDICAL TRANSPORT 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1770390130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E & F MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	1421 HERON POND ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-9709
Country	:	US
Telephone Number	:	919-690-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 HERON POND ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-9709
Country	:	US
Telephone Number	:	919-690-5553
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LENA FELICIA BARNETTE
Credential	:
Telephone Number	:	919-690-5553

Provider Enumeration Date	:	12/18/2024
Last Update Date	:	12/18/2024

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