Provider Demographics
NPI:1346647633
Name:PARKS MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:PARKS MEDICAL TRANSPORTATION
Other - Org Name:TEMEKA PARKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-237-6748
Mailing Address - Street 1:106 LEGEND OAKS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7140
Mailing Address - Country:US
Mailing Address - Phone:803-237-6748
Mailing Address - Fax:187-739-5245
Practice Address - Street 1:106 LEGEND OAKS DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7140
Practice Address - Country:US
Practice Address - Phone:803-237-6748
Practice Address - Fax:187-739-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health