National Provider Identifier Database

CARILION CLINIC PATIENT TRANSPORTATION LLC
Air Transport


Contact Information

CARILION CLINIC PATIENT TRANSPORTATION, LLC
431 MCCLANAHAN ST. SW
ROANOKE, VA24014-1756
Phone: 540-981-8731
Fax: 540-344-5674
Website:
Specialty Taxonomy Code
* Air Transport 3416A0800X
Ambulance 341600000X
Land Transport 3416L0300X

* Indicates primary specialty

NPI Profile & details for CARILION CLINIC PATIENT TRANSPORTATION, LLC

NPI Number 1710934617
Legal business name
LBN
CARILION CLINIC PATIENT TRANSPORTATION, LLC
Authorized official DONALD LORTON - (EVP. TREASURER)
Entity Organization
Organization subpart No
Enumeration date 05/27/2006
Last updated 12/15/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 468
  • VA Medicaid: 009010131
  • VA Medicaid: 009012401
  • VA Medicaid: 009020306
  • WV Medicaid: 0145210000
  • WV Medicaid: 0146080000
  • VA Other: 282625 ANTHEM BCBS
  • VA Other: 282817 ANTHEM BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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