Provider Demographics
NPI:1275509259
Name:CAREFLITE
Entity Type:Organization
Organization Name:CAREFLITE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-339-4200
Mailing Address - Street 1:PO BOX 660911
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75266-0911
Mailing Address - Country:US
Mailing Address - Phone:972-339-4219
Mailing Address - Fax:972-606-1704
Practice Address - Street 1:3110 S GREAT SOUTHWEST PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7238
Practice Address - Country:US
Practice Address - Phone:972-339-4219
Practice Address - Fax:972-606-1704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX057066341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX506798Medicare PIN