MEDICARE: S&S 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1811652936
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S&S TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2027 SPRING CREEK DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-4796
Country	:	US
Telephone Number	:	919-282-6223
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 SPRING CREEK DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-4796
Country	:	US
Telephone Number	:	919-282-6223
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SARBENA DOUGLAS
Credential	:
Telephone Number	:	919-282-6223

Provider Enumeration Date	:	11/03/2021
Last Update Date	:	11/08/2021

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