Provider Demographics
NPI:1821861311
Name:FIRST CARE MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:FIRST CARE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:VEAL-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:706-498-3661
Mailing Address - Street 1:2227 REHOBOTH ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:BOWMAN
Mailing Address - State:GA
Mailing Address - Zip Code:30624-3013
Mailing Address - Country:US
Mailing Address - Phone:706-498-3661
Mailing Address - Fax:
Practice Address - Street 1:2227 REHOBOTH ROAD EXT
Practice Address - Street 2:
Practice Address - City:BOWMAN
Practice Address - State:GA
Practice Address - Zip Code:30624-3013
Practice Address - Country:US
Practice Address - Phone:706-498-3661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance