KWIK TRIP LLC


Address: 1727 Westchester Dr, High Point, NC 27262-7008
Phone: 3368850799

KWIK TRIP LLC (NPI# 1174146005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174146005
Entity Type Organization
Organization Name KWIK TRIP LLC
Practice Address 1727 Westchester Dr
High Point
NC 27262-7008
Mailing Address Po Box 24513
Winston Salem
NC 27114-4513
Practice Telephone 3368850799
Practice Fax Number 3368850801
Mailing Telephone 3369951383
Enumeration Date 2020-05-27
Last Update Date 2020-05-27
Authorized Official Name MR. FRED JEROME MILLER (OWNER)
Authorized Official Telephone 3369951383
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 343800000X Secured Medical Transport (VAN) Transportation Services

Other Provider/Organization Names

Other Name Type Code
Fred Jerome Miller Doing Business As Name - Organization

Office Location

Street Address 1727 WESTCHESTER DR
City HIGH POINT
State NC
Zip Code 27262-7008

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1538679907 Zackary Daniel Rogers Physician Assistant 1814 Westchester Dr #301, High Point, NC 27262 2017-10-11
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1871902346 Isha Bangura Counselor 910 Mill Ave., High Point, NC 27262 2014-08-08
1831478833 Jenny Susan Mason Specialist/Technologist 922 West College Dr, High Point, NC 27262 2011-08-08
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Taxonomy Information

Taxonomy Code 343800000X
Grouping Transportation Services
Classification Secured Medical Transport (VAN)

Taxonomy Definition

A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003301359 Allstop Transport LLC Secured Medical Transport (VAN) 2860 Freedom Dr Ste B, Charlotte, NC 28208-3856 2018-06-28
1265977391 Caring Hands Transportation Secured Medical Transport (VAN) 3917 Apperson Dr, Raleigh, NC 27610-6157 2016-12-28
1619384948 Trinity One Transportation Secured Medical Transport (VAN) 7716 Pence Rd Ste A, Charlotte, NC 28215-4546 2014-07-18
1871884692 Quentin Osborne Miles Secured Medical Transport (VAN) 2740 Rosinburg Rd, Zebulon, NC 27597-9599 2011-04-27
1386942183 Drew Transportation Services Secured Medical Transport (VAN) 919 Kildaire Farm Rd, Cary, NC 27511-3935 2011-03-03
1598061582 Cabarrus-mecklenburg Transport, LLC Secured Medical Transport (VAN) 2604 S Ridge Ave, Concord, NC 28025-2852 2011-02-08
1801112990 Bradley's Caravan Services Secured Medical Transport (VAN) 6325 Carpentaria Ct, Charlotte, NC 28215-7137 2010-04-14
1922656115 Jr's Transport #2 Inc Secured Medical Transport (VAN) 728 S Main St, Randleman, NC 27317-2102 2019-08-30
1477038081 Trans Care Services Usa Secured Medical Transport (VAN) 2860 Freedom Dr Ste B, Charlotte, NC 28208-3856 2018-09-28
1205348570 Tommy Hancock Secured Medical Transport (VAN) 6900 Six Forks Rd, 100 B, Raleigh, NC 27615-6458 2017-10-26
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Competitor

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City HIGH POINT
Zip Code 27262

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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