Provider Demographics
NPI:1578071395
Name:CORE CARE MEDICAL TRANSPORT, LLC
Entity Type:Organization
Organization Name:CORE CARE MEDICAL TRANSPORT, LLC
Other - Org Name:CORE CARE MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-776-9956
Mailing Address - Street 1:2611 WELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-1549
Mailing Address - Country:US
Mailing Address - Phone:678-372-1493
Mailing Address - Fax:
Practice Address - Street 1:1316 LAKEWOOD AVE SE # G-4
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-2313
Practice Address - Country:US
Practice Address - Phone:678-372-1493
Practice Address - Fax:770-776-9956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-15
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport