Provider Demographics
NPI: | 1689081531 |
---|---|
Name: | BRUMANT MEDICAL TRANSPORTATION SERVICE INC |
Entity type: | Organization |
Organization Name: | BRUMANT MEDICAL TRANSPORTATION SERVICE INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | TRENEL |
Authorized Official - Middle Name: | ANDREW |
Authorized Official - Last Name: | BRUMANT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 336-223-4965 |
Mailing Address - Street 1: | 111 TRAIL ONE STE 104 |
Mailing Address - Street 2: | |
Mailing Address - City: | BURLINGTON |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27215-5672 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 336-223-4965 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 621 MEADOWTOP CIR |
Practice Address - Street 2: | |
Practice Address - City: | BURLINGTON |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27217-9384 |
Practice Address - Country: | US |
Practice Address - Phone: | 336-223-4965 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-07-11 |
Last Update Date: | 2024-07-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 343900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |