Provider Demographics
NPI:1154864007
Name:CHARIOT MEDICAL TRANSPORT SERVICES, LLC
Entity Type:Organization
Organization Name:CHARIOT MEDICAL TRANSPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-722-9400
Mailing Address - Street 1:PO BOX 82465
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-9436
Mailing Address - Country:US
Mailing Address - Phone:770-679-1530
Mailing Address - Fax:678-609-1577
Practice Address - Street 1:620 SIGMAN RD NE STE 400
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1325
Practice Address - Country:US
Practice Address - Phone:770-679-1530
Practice Address - Fax:678-609-1577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-27
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport