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Contact Information

CLOTILDA D COOPER, OWNER
550 WEST ANDREWS AVE
NUMBER 48
HENDERSON, NC27536
 Phone: 919-939-6147
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1063187193
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/11/2021
Last updated 08/11/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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