Provider Demographics
NPI:1679934863
Name:EXCHANGE UR CARE TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:EXCHANGE UR CARE TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATRICIA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-893-3113
Mailing Address - Street 1:865 28TH ST SE STE 700
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-1313
Mailing Address - Country:US
Mailing Address - Phone:616-272-3117
Mailing Address - Fax:616-350-9889
Practice Address - Street 1:865 28TH ST SE STE 700
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-1313
Practice Address - Country:US
Practice Address - Phone:616-272-3117
Practice Address - Fax:616-350-9889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)