Provider Demographics
NPI:1639231822
Name:TRANSCARE TRANSPORTATION INC
Entity Type:Organization
Organization Name:TRANSCARE TRANSPORTATION INC
Other - Org Name:TRANSCARE AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:BRIEN
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:662-287-9110
Mailing Address - Street 1:210 ALCORN DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-9701
Mailing Address - Country:US
Mailing Address - Phone:662-287-9110
Mailing Address - Fax:662-665-8678
Practice Address - Street 1:210 ALCORN DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9701
Practice Address - Country:US
Practice Address - Phone:662-287-9110
Practice Address - Fax:662-665-8678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS449341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSP00170463OtherRAILROAD MEDICARE
MS03772891Medicaid
MSY23965Medicare UPIN