Provider Demographics
NPI:1659758696
Name:Q-CARE TRANSPORTATION SERIVICE
Entity Type:Organization
Organization Name:Q-CARE TRANSPORTATION SERIVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:804-955-7870
Mailing Address - Street 1:9042 VIDETTE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-6571
Mailing Address - Country:US
Mailing Address - Phone:804-955-7870
Mailing Address - Fax:
Practice Address - Street 1:9042 VIDETTE LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-6571
Practice Address - Country:US
Practice Address - Phone:804-955-7870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)