Provider Demographics
NPI:1306534946
Name:ALL STAR TRANSIT CARE
Entity type:Organization
Organization Name:ALL STAR TRANSIT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-748-1251
Mailing Address - Street 1:1201 MAIN ST STE 1980
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3299
Mailing Address - Country:US
Mailing Address - Phone:803-316-7814
Mailing Address - Fax:
Practice Address - Street 1:1201 MAIN ST STE 1980
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3299
Practice Address - Country:US
Practice Address - Phone:803-316-7814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)