NPI 1396290797

Caresource Transportation, LLC

Organisation Land Ambulance Corinth, MS

Practice location

Address: 210 Alcorn Dr, Corinth, MS 38834-9701
Phone: (630) 330-0073
Mailing address: 2117 Cresent Ln, Southaven, MS 38672-8321

Authorised official

Name: Christopher White
Title: Owner
Phone: (630) 330-0073

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 904, ALCORN (MS)

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Registry record

NPI: 1396290797
Entity type: Organization
NPI issued: 16 Aug 2016
Record last updated: 16 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.