Provider Demographics
NPI:1932408051
Name:CARE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:CARE MEDICAL TRANSPORTATION
Other - Org Name:PRN MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:
Authorized Official - First Name:SIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANAKAMEDALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-468-5415
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-0510
Mailing Address - Country:US
Mailing Address - Phone:908-468-5415
Mailing Address - Fax:
Practice Address - Street 1:308 PARK AVE E
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-3609
Practice Address - Country:US
Practice Address - Phone:609-265-1953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPRN00313416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport