Provider Demographics
NPI:1477860468
Name:TRANS-CARE AMBULANCE SERVICE, LLC
Entity Type:Organization
Organization Name:TRANS-CARE AMBULANCE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BUTKUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-878-4236
Mailing Address - Street 1:5 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-4434
Mailing Address - Country:US
Mailing Address - Phone:802-878-4236
Mailing Address - Fax:802-878-6687
Practice Address - Street 1:5 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-4434
Practice Address - Country:US
Practice Address - Phone:802-878-4236
Practice Address - Fax:802-878-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-12
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)