Provider Demographics
NPI:1689044976
Name:DIXIE CARE TRANSPORTATION, INC
Entity Type:Organization
Organization Name:DIXIE CARE TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TETIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-807-8331
Mailing Address - Street 1:4757 CORNELL RD STE B
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-7400
Mailing Address - Country:US
Mailing Address - Phone:513-247-0607
Mailing Address - Fax:513-247-0697
Practice Address - Street 1:4757 CORNELL RD STE B
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45241-7400
Practice Address - Country:US
Practice Address - Phone:513-247-0607
Practice Address - Fax:513-247-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)