Provider Demographics
NPI:1225860745
Name:CARECAN HEALTH TRANSIT
Entity type:Organization
Organization Name:CARECAN HEALTH TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:YELVERTON
Authorized Official - Last Name:SPEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MSP ED, MSHS, BA
Authorized Official - Phone:252-481-6998
Mailing Address - Street 1:314 HINES ST
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1611
Mailing Address - Country:US
Mailing Address - Phone:252-481-6998
Mailing Address - Fax:
Practice Address - Street 1:314 HINES ST
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1611
Practice Address - Country:US
Practice Address - Phone:252-481-6998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty