Provider Demographics
NPI:1326859109
Name:INDEPENDENT CAR SERVICE INC
Entity type:Organization
Organization Name:INDEPENDENT CAR SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-871-8153
Mailing Address - Street 1:3154 BALTIMORE BLVD STE R
Mailing Address - Street 2:
Mailing Address - City:FINKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21048-2388
Mailing Address - Country:US
Mailing Address - Phone:443-871-8153
Mailing Address - Fax:
Practice Address - Street 1:3154 BALTIMORE BLVD STE R
Practice Address - Street 2:
Practice Address - City:FINKSBURG
Practice Address - State:MD
Practice Address - Zip Code:21048-2388
Practice Address - Country:US
Practice Address - Phone:443-871-8153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)