Provider Demographics
NPI:1326323403
Name:C A BROWN ENTERPRISES,LLC
Entity Type:Organization
Organization Name:C A BROWN ENTERPRISES,LLC
Other - Org Name:DBA/CHASEMED TRANSPORTATION.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:803-795-7622
Mailing Address - Street 1:7998 OLD RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PINEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29125-9687
Mailing Address - Country:US
Mailing Address - Phone:803-773-5900
Mailing Address - Fax:803-773-6600
Practice Address - Street 1:410 W LIBERTY ST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4865
Practice Address - Country:US
Practice Address - Phone:803-773-5900
Practice Address - Fax:803-773-6600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC008409477343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)