MEDICARE: MR. CALVIN L PARKER

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	:	1841183183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CALVIN L PARKER

Provider Business Mailing Address
First Line	:	PO BOX 792
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27835-0792
Country	:	US
Telephone Number	:	888-234-9936
Fax Number	:	252-999-6334

Provider Business Practice Location Address
First Line	:	2380 BELLARTHUR RD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-2783
Country	:	US
Telephone Number	:	888-234-9936
Fax Number	:	252-999-6334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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