NPI 1790599207
Non-emergency Medical Transport (VAN) in Clayton, NC
Active since February 04, 2025
About NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NPPES Registry Identity
NPI1790599207
Entity TypeOrganization
Primary Taxonomy343900000X
Location Address197 LYNN DRClayton, NC 27520-4607
Mailing AddressPo Box 344Wilsons Mills, NC 27593-0344 · (919) 464-6979
Phone(919) 464-6979
Organization SubpartNo
Authorized OfficialKeandre RaifordOwner · (919) 464-6979
Enumeration DateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
✔ NPI 1790599207 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
197 LYNN DR, Clayton, NC 27520
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
# NPI 1790599207 · NPI 1790599207
Non-emergency Medical Transport (VAN) organization in Clayton, North Carolina. Organization record, active in the CMS NPPES registry since February 4, 2025.
## Identity
- **NPI:** 1790599207 (Entity type: Organization)
- **Enumerated:** February 4, 2025
- **Primary specialty:** Non-emergency Medical Transport (VAN) · taxonomy 343900000X
- **Organization subpart:** No
- **Authorized official:** Keandre Raiford, OWNER
## Practice location
- **Address:** 197 LYNN DR, Clayton, NC 27520-4607
- **Phone:** (919) 464-6979
## Record status
- **NPPES last updated:** February 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790599207) · Data from the CMS NPPES public registry.