Provider Demographics
NPI:1497758254
Name:TRANSCARE PENNSYLVANIA, INC.
Entity Type:Organization
Organization Name:TRANSCARE PENNSYLVANIA, INC.
Other - Org Name:TRANSCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-510-9080
Mailing Address - Street 1:1 METROTECH CTR
Mailing Address - Street 2:20TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3831
Mailing Address - Country:US
Mailing Address - Phone:718-763-8888
Mailing Address - Fax:718-968-8653
Practice Address - Street 1:400 SECO RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1424
Practice Address - Country:US
Practice Address - Phone:412-373-6300
Practice Address - Fax:412-373-8263
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSCARE CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-24
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA033313416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01545318Medicaid
PA590009506OtherRAILROAD MEDICARE
PA236704Medicare PIN