Provider Demographics
NPI:1679197057
Name:CAPITAL CITY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:CAPITAL CITY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ARVIE
Authorized Official - Last Name:POINTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-201-3044
Mailing Address - Street 1:P.O. BOX 73403
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70874-3403
Mailing Address - Country:US
Mailing Address - Phone:504-201-3044
Mailing Address - Fax:
Practice Address - Street 1:509 E BUFFWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-3817
Practice Address - Country:US
Practice Address - Phone:504-201-3044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPITAL CITY MEDICAL TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)