Provider Demographics
NPI:1053330118
Name:CARETRAN, INC.
Entity Type:Organization
Organization Name:CARETRAN, INC.
Other - Org Name:CARETRAN MEDICAL SUPPLY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:661-831-8689
Mailing Address - Street 1:7420 DISTRICT BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4819
Mailing Address - Country:US
Mailing Address - Phone:661-831-8689
Mailing Address - Fax:661-836-9395
Practice Address - Street 1:7420 DISTRICT BLVD STE C
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-4819
Practice Address - Country:US
Practice Address - Phone:661-831-8689
Practice Address - Fax:661-836-9395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100470332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00463FMedicaid
CA0404540001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER