MEDICARE: CHASE TRANSPORTATION LLC

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	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1952186223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHASE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1803 STEVENSON RD
Second Line	:
City	:	ABBEVILLE
State	:	SC
Zip	:	29620-4451
Country	:	US
Telephone Number	:	864-323-4891
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 STEVENSON RD
Second Line	:
City	:	ABBEVILLE
State	:	SC
Zip	:	29620-4451
Country	:	US
Telephone Number	:	864-323-4891
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEBRA T GILBERT
Credential	:
Telephone Number	:	864-323-4891

Provider Enumeration Date	:	08/25/2023
Last Update Date	:	08/25/2023

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Directions to “CHASE TRANSPORTATION LLC ” Practice Location

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