MEDICARE: INDEPENDENT CAPACITY TRANSPORTATION SERVICES, 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	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1689060899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT CAPACITY TRANSPORTATION SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 3163
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23805-3163
Country	:	US
Telephone Number	:	804-520-7773
Fax Number	:	804-214-2177

Provider Business Practice Location Address
First Line	:	16017 CONTINENTAL BLVD
Second Line	:
City	:	SOUTH CHESTERFIELD
State	:	VA
Zip	:	23834-5900
Country	:	US
Telephone Number	:	804-520-7773
Fax Number	:	804-214-2177

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. PASCAL THEBAUD
Credential	:
Telephone Number	:	804-520-7773

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	04/14/2015

Similar Medicare Providers

1366383226 — APRIL BENNETT LPC
Practice Location Address:

16035 CONTINENTAL BLVD
SOUTH CHESTERFIELD, VA
23834-5900

Practice Phone: 804-424-0419
Practice Fax:

1750237731 — CIARA MACMULLEN RBT
Practice Location Address:

16021 CONTINENTAL BLVD
SOUTH CHESTERFIELD, VA
23834-5900

Practice Phone: 804-985-1050
Practice Fax:

1376933051 — TRIUMPH RESIDENTIAL SERVICES, LLC
Practice Location Address:

16067 CONTINENTAL BLVD
SOUTH CHESTERFIELD, VA
23834-5900

Practice Phone: 804-520-0100
Practice Fax:

1982475174 — GERALD OTT
Practice Location Address:

16035 CONTINENTAL BLVD
SOUTH CHESTERFIELD, VA
23834-5900

Practice Phone: 804-336-3068
Practice Fax:

1649003880 — STEPHANIE BAKER
Practice Location Address:

16035 CONTINENTAL BLVD
SOUTH CHESTERFIELD, VA
23834-5900

Practice Phone: 434-390-1597
Practice Fax:

1891511408 — MR. ROBERT LLOYD HERNANDEZ LCSW
Practice Location Address:

16035 CONTINENTAL BLVD
SOUTH CHESTERFIELD, VA
23834-5900

Practice Phone: 804-731-5494
Practice Fax: 804-479-8219

Directions to “INDEPENDENT CAPACITY TRANSPORTATION SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.