Provider Demographics
NPI: | 1497929822 |
---|---|
Name: | HEALTHCARE PLUS TRANSPORT |
Entity Type: | Organization |
Organization Name: | HEALTHCARE PLUS TRANSPORT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MISS |
Authorized Official - First Name: | ANITA |
Authorized Official - Middle Name: | CHUA |
Authorized Official - Last Name: | BASA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 773-283-0090 |
Mailing Address - Street 1: | 3949 N PULASKI RD |
Mailing Address - Street 2: | |
Mailing Address - City: | CHICAGO |
Mailing Address - State: | IL |
Mailing Address - Zip Code: | 60641-2932 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 773-283-0090 |
Mailing Address - Fax: | 773-283-1054 |
Practice Address - Street 1: | 3949 N PULASKI RD |
Practice Address - Street 2: | |
Practice Address - City: | CHICAGO |
Practice Address - State: | IL |
Practice Address - Zip Code: | 60641-2932 |
Practice Address - Country: | US |
Practice Address - Phone: | 773-283-0090 |
Practice Address - Fax: | 773-283-1054 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2008-04-16 |
Last Update Date: | 2008-04-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343800000X | Transportation Services | Secured Medical Transport (VAN) | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) |