MEDICARE: P & C TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	L2439	MI

General Provider Information

NPI Number	:	1275847840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P & C TRANSPORTATION

Provider Business Mailing Address
First Line	:	17209 ARLINGTON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48212-1518
Country	:	US
Telephone Number	:	313-617-0218
Fax Number	:	313-835-5542

Provider Business Practice Location Address
First Line	:	17209 ARLINGTON ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48212-1518
Country	:	US
Telephone Number	:	313-617-0218
Fax Number	:	313-835-5542

Authorized Official
Title or Position	:	PARTNER
Name	:	MS. ELIZABETH PATTERSON
Credential	:
Telephone Number	:	313-617-0218

Provider Enumeration Date	:	08/05/2010
Last Update Date	:	08/05/2010

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Directions to “P & C TRANSPORTATION ” Practice Location

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