MEDICARE: CLC 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)	01361095	NY

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	:	1629154414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLC TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	103 S BEDFORD RD
Second Line	:	SUITE 105
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3440
Country	:	US
Telephone Number	:	914-241-0112
Fax Number	:	914-241-0886

Provider Business Practice Location Address
First Line	:	103 S BEDFORD RD
Second Line	:	SUITE 105
City	:	MOUNT KISCO
State	:	NY
Zip	:	10549-3440
Country	:	US
Telephone Number	:	914-241-0112
Fax Number	:	914-241-0886

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JEFFREY BIEVER
Credential	:
Telephone Number	:	914-241-0112

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	08/22/2020

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Directions to “CLC TRANSPORTATION INC. ” Practice Location

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