Provider Demographics
NPI:1801147467
Name:SCUSA TRANSPORTATION
Entity type:Organization
Organization Name:SCUSA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-986-3600
Mailing Address - Street 1:1000 N 1ST ST STE 15
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-2848
Mailing Address - Country:US
Mailing Address - Phone:704-986-3790
Mailing Address - Fax:704-982-5735
Practice Address - Street 1:1000 N 1ST ST STE 15
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-2848
Practice Address - Country:US
Practice Address - Phone:704-986-3790
Practice Address - Fax:704-982-5735
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STANLY COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)