Provider Demographics
NPI:1124429451
Name:BIG WHEEL TRANSPORTATION, INC
Entity type:Organization
Organization Name:BIG WHEEL TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SCOTTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:336-938-0239
Mailing Address - Street 1:PO BOX 7092
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27417-0092
Mailing Address - Country:US
Mailing Address - Phone:336-938-0239
Mailing Address - Fax:
Practice Address - Street 1:2302 W MEADOWVIEW RD
Practice Address - Street 2:SUITE 210
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3721
Practice Address - Country:US
Practice Address - Phone:336-938-0239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-05
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)