MEDICARE: E.C. CARE, MEDICAL TRANSPORTATION,INC.

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)	X4509C	NJ

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	:	1134384282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E.C. CARE, MEDICAL TRANSPORTATION,INC.

Provider Business Mailing Address
First Line	:	1608 77TH STREET
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-4069
Country	:	US
Telephone Number	:	201-624-1761
Fax Number	:

Provider Business Practice Location Address
First Line	:	1608 77TH ST
Second Line	:
City	:	NORTH BERGEN
State	:	NJ
Zip	:	07047-4069
Country	:	US
Telephone Number	:	201-624-1761
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	MS. YOLANDA CHUMACEIRO
Credential	:
Telephone Number	:	201-624-1761

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	07/28/2008

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