MEDICARE: TLC 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)	305588	CA
2	3416L0300X	Land Ambulance	1833	CA

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	:	1144212465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TLC TRANSPORTATION, INC

Provider Business Mailing Address
First Line	:	PO BOX 5218
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-0218
Country	:	US
Telephone Number	:	916-368-2222
Fax Number	:	916-361-2307

Provider Business Practice Location Address
First Line	:	3991 ATTAWA AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-1414
Country	:	US
Telephone Number	:	916-368-2222
Fax Number	:	916-361-2307

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KATHRYN FAYE WHIPPLE
Credential	:
Telephone Number	:	916-368-2222

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/09/2014

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Directions to “TLC TRANSPORTATION, INC ” Practice Location

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