Provider Demographics
NPI:1174381966
Name:HEART OF NC TRANSPORTATION INC
Entity type:Organization
Organization Name:HEART OF NC TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CASSADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-662-2436
Mailing Address - Street 1:15 S FAYETTEVILLE ST STE 203-F
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5871
Mailing Address - Country:US
Mailing Address - Phone:336-662-2436
Mailing Address - Fax:
Practice Address - Street 1:15 S FAYETTEVILLE ST STE 203-F
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5871
Practice Address - Country:US
Practice Address - Phone:336-662-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)