Provider Demographics
NPI:1528065778
Name:KARE MEDICAL TRANSPORT SERVICES LTD
Entity type:Organization
Organization Name:KARE MEDICAL TRANSPORT SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRABTREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-578-0264
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040-0110
Mailing Address - Country:US
Mailing Address - Phone:937-578-0263
Mailing Address - Fax:937-578-0264
Practice Address - Street 1:1002 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-8563
Practice Address - Country:US
Practice Address - Phone:937-578-0263
Practice Address - Fax:937-578-0264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-01
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHMTB-52683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2378798Medicaid
000000257776OtherANTHEM
81-00715OtherUNITED HEALTHCARE
E-=========-71792OtherAETNA
81-00715OtherUNITED HEALTHCARE
=========OtherTRICARE
OH2378798Medicaid
=========OtherTRICARE