Provider Demographics
NPI:1366579708
Name:DMCARE EXPRESS, INC
Entity type:Organization
Organization Name:DMCARE EXPRESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHEMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-304-6023
Mailing Address - Street 1:PO BOX 713745
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45271-3745
Mailing Address - Country:US
Mailing Address - Phone:800-549-2944
Mailing Address - Fax:248-356-4998
Practice Address - Street 1:6420 E LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48207-4332
Practice Address - Country:US
Practice Address - Phone:313-259-5215
Practice Address - Fax:313-259-5240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI63-1080341600000X
MI8210823416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4987707Medicaid
MI4987707Medicaid