MEDICARE: QUALITY CARE TRANSPORTATION SERVICES 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1306529268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY CARE TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	10820 SNOWDROP WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-3560
Country	:	US
Telephone Number	:	317-653-8277
Fax Number	:

Provider Business Practice Location Address
First Line	:	10820 SNOWDROP WAY
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46235-3560
Country	:	US
Telephone Number	:	317-653-8277
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CAROLYN WELLS
Credential	:
Telephone Number	:	317-653-8277

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

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