MEDICARE: FIRST CLASS CARE TRANSPORTATION

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	:	1770911166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST CLASS CARE TRANSPORTATION

Provider Business Mailing Address
First Line	:	2332 CHESTNUT DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5705
Country	:	US
Telephone Number	:	469-235-3898
Fax Number	:

Provider Business Practice Location Address
First Line	:	2332 CHESTNUT DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5705
Country	:	US
Telephone Number	:	469-235-3898
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	RODNEY T. SAMVURA
Credential	:
Telephone Number	:	469-235-3898

Provider Enumeration Date	:	10/22/2013
Last Update Date	:	10/22/2013

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Directions to “FIRST CLASS CARE TRANSPORTATION ” Practice Location

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