Provider Demographics
NPI:1184888067
Name:CARESTAT LOGISTICS, INC
Entity type:Organization
Organization Name:CARESTAT LOGISTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-360-1915
Mailing Address - Street 1:PO BOX 18692
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38181-0692
Mailing Address - Country:US
Mailing Address - Phone:901-360-1915
Mailing Address - Fax:901-360-1915
Practice Address - Street 1:3949 WHITEBROOK DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-3727
Practice Address - Country:US
Practice Address - Phone:901-360-1915
Practice Address - Fax:901-367-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)