Provider Demographics
NPI:1124856737
Name:PLUM KRAZEY & CO. LLC
Entity type:Organization
Organization Name:PLUM KRAZEY & CO. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN-GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-367-5700
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27802-0373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 TRIANGLE CT
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1282
Practice Address - Country:US
Practice Address - Phone:252-367-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)