Provider Demographics
NPI:1093238669
Name:I CARE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:I CARE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:BERNADETTE
Authorized Official - Last Name:MESINA-LIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-878-2000
Mailing Address - Street 1:170 ROSS WAY
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-1633
Mailing Address - Country:US
Mailing Address - Phone:650-878-2000
Mailing Address - Fax:650-475-8475
Practice Address - Street 1:170 ROSS WAY
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-1633
Practice Address - Country:US
Practice Address - Phone:650-878-2000
Practice Address - Fax:650-475-8475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)