Caresource Transportation, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

904, ALCORN Issued in MS

Legal business name

CARESOURCE TRANSPORTATION, LLC

Practice address

210 Alcorn Dr
Corinth, MS 38834-9701

Phone

(630) 330-0073

NPI assigned

Aug 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher White

Title

Owner

Phone

(630) 330-0073

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1396290797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CRESENT LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728321",
            "telephone_number": "630-330-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349701",
            "telephone_number": "630-330-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESOURCE TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-330-0073"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "904, ALCORN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Leonard Cain Jr., M.D.
• Sherry D. Callahan, FNP
• Lauren Canaan, DO
• Ryan Canaan, DO
• Cardiology Associates of North Ms PA
• Carl C Welch, MD, PA (Tri-State Rural Health)
• Mary Carter, FNP-C
• Amber L Chaney, RDN LD
• Charles G. Quinn
• Denisa L Chase, DO

• Land Ambulance in Corinth, MS
• Providers in Corinth, MS by specialty
• Land Ambulance in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.