Provider Demographics
NPI:1750084067
Name:CARE 4 MEDICAL TRANSPORT
Entity type:Organization
Organization Name:CARE 4 MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RALPHIE
Authorized Official - Middle Name:TYRONE
Authorized Official - Last Name:SMITH SR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-661-8897
Mailing Address - Street 1:9330 TWO NOTCH RD STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6440
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9330 TWO NOTCH RD STE B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6440
Practice Address - Country:US
Practice Address - Phone:803-661-8897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-24
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty