MEDICARE: CAPITAL AREA RURAL TRANSPORTATION SYSTEM

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	220910801	OTHER	TX	EXISTING TEXAS PROVIDER IDENTIFIER

General Provider Information

NPI Number	:	1073914263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL AREA RURAL TRANSPORTATION SYSTEM

Provider Business Mailing Address
First Line	:	2010 E 6TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-3404
Country	:	US
Telephone Number	:	512-481-1011
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 E 6TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-3404
Country	:	US
Telephone Number	:	512-481-1011
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. DAVID L MARSH
Credential	:
Telephone Number	:	512-481-1011

Provider Enumeration Date	:	09/08/2014
Last Update Date	:	09/08/2014

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