Provider Demographics
NPI:1588375620
Name:CAROLINA HEALTH TRANSPORT LLC
Entity type:Organization
Organization Name:CAROLINA HEALTH TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-399-6640
Mailing Address - Street 1:PO BOX 1233
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-1233
Mailing Address - Country:US
Mailing Address - Phone:843-399-6640
Mailing Address - Fax:843-399-6641
Practice Address - Street 1:108B CASE CT
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-7150
Practice Address - Country:US
Practice Address - Phone:843-399-6640
Practice Address - Fax:843-399-6640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company