Provider Demographics
NPI: | 1609631811 |
---|---|
Name: | INSTACARE TRANSPORTATIONS |
Entity type: | Organization |
Organization Name: | INSTACARE TRANSPORTATIONS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PARTNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JAMAL |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | ARMSTRONG |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 954-604-8422 |
Mailing Address - Street 1: | 2309 GILMER RD STE 101 |
Mailing Address - Street 2: | |
Mailing Address - City: | LONGVIEW |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75604-2133 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8913 TEAL LN # A |
Practice Address - Street 2: | |
Practice Address - City: | JONESBORO |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30236-5059 |
Practice Address - Country: | US |
Practice Address - Phone: | 954-604-8422 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-02-16 |
Last Update Date: | 2024-02-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | ||
No | 111NR0400X | Chiropractic Providers | Chiropractor | Rehabilitation | Group - Multi-Specialty |
No | 261QA0005X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Family Planning Facility | Group - Multi-Specialty |
No | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | Group - Multi-Specialty |
No | 261QA0900X | Ambulatory Health Care Facilities | Clinic/Center | Amputee | |
No | 261QE0700X | Ambulatory Health Care Facilities | Clinic/Center | End-Stage Renal Disease (ESRD) Treatment | |
No | 261QI0500X | Ambulatory Health Care Facilities | Clinic/Center | Infusion Therapy | |
No | 261QR0207X | Ambulatory Health Care Facilities | Clinic/Center | Radiology, Mobile Mammography | |
No | 261QR0208X | Ambulatory Health Care Facilities | Clinic/Center | Radiology, Mobile | |
No | 261QX0203X | Ambulatory Health Care Facilities | Clinic/Center | Oncology, Radiation | |
No | 332BD1200X | Suppliers | Durable Medical Equipment & Medical Supplies | Dialysis Equipment & Supplies | |
No | 342000000X | Transportation Services | Transportation Network Company | ||
No | 347E00000X | Transportation Services | Transportation Broker | ||
No | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | Rehabilitation | Group - Multi-Specialty |
No | 111NR0200X | Chiropractic Providers | Chiropractor | Radiology | Group - Multi-Specialty |