OrganizationActive
Medicaid Travel, Inc.
NPI 1528607207 · Lodging Provider · Winston Salem, NC
Provider details
- NPI number
- 1528607207
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Dylan Carden, Ceo(919) 737-0734
Specialties & taxonomies
Other Service Providers
- Meals Provider174200000X
Other Service Providers
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Practice location
615 Saint George Square Ct Ste 300
Winston Salem, NC 27103-1368
Phone: (919) 737-0734
Fax: (216) 250-8369
Approximate (ZIP-level) locationGet directions
Mailing address
615 Saint George Square Ct Ste 300
Winston Salem, NC 27103-1368
Registry dates
- Enumerated
- 2019-12-30
- Last updated
- 2020-06-25
- Certified
- 2020-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.