Provider Demographics
NPI:1306532445
Name:MEDCARE TRANSPORTATION CORP
Entity type:Organization
Organization Name:MEDCARE TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCHABOUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-500-3531
Mailing Address - Street 1:4790 IRVINE BLVD STE 105-308
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1973
Mailing Address - Country:US
Mailing Address - Phone:949-500-3531
Mailing Address - Fax:
Practice Address - Street 1:4790 IRVINE BLVD STE 105-308
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1973
Practice Address - Country:US
Practice Address - Phone:949-500-3531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)