Organization · NPI-2
Medcare Transport INC
Non-emergency Medical Transport (VAN) · Loganville, GA
NPI number1184754285
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1184754285
- Entity type
- Organization (NPI-2)
- Legal business name
- Medcare Transport INC
- Organization subpart
- No
- Enumeration date
- Mar 7, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 139663 | GA | Yes |
Practice location
2205 Highway 81Loganville, GA 30052-4332
Phone 770-466-9939 · Fax 770-466-9949
Mailing address
2205 Highway 81Loganville, GA 30052-4332
Phone 770-466-9939 · Fax 770-466-9949
Authorized official
Katherine Von Itter
Ceo
7704669939
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