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NPI Code Detail

MEDICARE: ON DEMAND LOGISTICS CO.

MEDICARE: ON DEMAND LOGISTICS CO.
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
1251T00000XPACE Provider Organization
2343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1942982194
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON DEMAND LOGISTICS CO.
Provider Business Mailing Address
First Line : 1916 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-2427
Country : US
Telephone Number : 252-206-6639
Fax Number :
Provider Business Practice Location Address
First Line : 1916 NEW BERN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27610-2427
Country : US
Telephone Number : 252-206-6639
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TRONE TILLERY
Credential :
Telephone Number : 252-206-6639
Provider Enumeration Date : 08/07/2023
Last Update Date : 08/31/2023

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Directions to “ON DEMAND LOGISTICS CO. ” Practice Location

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