Provider Demographics
NPI:1801590930
Name:MEDCARE TRANSPORT SVCS
Entity type:Organization
Organization Name:MEDCARE TRANSPORT SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIROGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-423-4705
Mailing Address - Street 1:644 QUEENSLAND CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95206-5134
Mailing Address - Country:US
Mailing Address - Phone:209-423-4705
Mailing Address - Fax:
Practice Address - Street 1:644 QUEENSLAND CIR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95206-5134
Practice Address - Country:US
Practice Address - Phone:209-423-4705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)