Provider Demographics
NPI:1114304961
Name:SHARING N CARING MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:SHARING N CARING MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NON EMERGENCY MEDICAL TRANSPORT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MCCLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-697-6398
Mailing Address - Street 1:193 SE ELOISE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-4731
Mailing Address - Country:US
Mailing Address - Phone:386-697-6398
Mailing Address - Fax:386-438-5499
Practice Address - Street 1:193 SE ELOISE AVE
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-4731
Practice Address - Country:US
Practice Address - Phone:386-697-6398
Practice Address - Fax:386-438-5499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)