Provider Demographics
NPI:1467197624
Name:C&A MEDICAL TRANSIT
Entity Type:Organization
Organization Name:C&A MEDICAL TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:COOKSIE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:707-301-0203
Mailing Address - Street 1:107 MESA CT
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-5636
Mailing Address - Country:US
Mailing Address - Phone:707-301-0203
Mailing Address - Fax:
Practice Address - Street 1:107 MESA CT
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-5636
Practice Address - Country:US
Practice Address - Phone:707-301-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)