MEDICARE: BCUZ WE CARE 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)	4350252022	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831468974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BCUZ WE CARE TRANSPORTATION

Provider Business Mailing Address
First Line	:	1036 LAUREL CT
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46601-2701
Country	:	US
Telephone Number	:	574-288-2498
Fax Number	:

Provider Business Practice Location Address
First Line	:	1036 LAUREL CT
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46601-2701
Country	:	US
Telephone Number	:	574-288-2498
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DONA L. RICHEY
Credential	:
Telephone Number	:	574-855-8358

Provider Enumeration Date	:	12/19/2011
Last Update Date	:	12/19/2011

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Directions to “BCUZ WE CARE TRANSPORTATION ” Practice Location

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