Provider Demographics
NPI:1215731229
Name:VITALMED CARE TRANSPORTATION LLC
Entity type:Organization
Organization Name:VITALMED CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEGAL REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:706-513-2734
Mailing Address - Street 1:246 ROBERT C DANIEL JR PKWY
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909
Mailing Address - Country:US
Mailing Address - Phone:762-675-7583
Mailing Address - Fax:
Practice Address - Street 1:3551 MIKE PADGETT HWY APT 2G
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-6800
Practice Address - Country:US
Practice Address - Phone:762-675-7583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle