Provider Demographics
NPI:1720762297
Name:R AND C 2 MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:R AND C 2 MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-351-0812
Mailing Address - Street 1:16 JANA DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2736
Mailing Address - Country:US
Mailing Address - Phone:318-351-0812
Mailing Address - Fax:318-416-0010
Practice Address - Street 1:803 STUBBS AVE STE D
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5581
Practice Address - Country:US
Practice Address - Phone:318-351-0812
Practice Address - Fax:318-416-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)