Provider Demographics
NPI:1043731052
Name:TLC NON-EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:TLC NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER- CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PITCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-761-6307
Mailing Address - Street 1:6235 JOSIE ST
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-9106
Mailing Address - Country:US
Mailing Address - Phone:209-761-6307
Mailing Address - Fax:
Practice Address - Street 1:6235 JOSIE STREET
Practice Address - Street 2:
Practice Address - City:ATWATER
Practice Address - State:CA
Practice Address - Zip Code:95301
Practice Address - Country:US
Practice Address - Phone:209-761-6307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker