National Provider Identifier Database

PROVIDENCE TRANSPORTATION SERVICE LLC
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

PROVIDENCE TRANSPORTATION SERVICE, LLC.
2456 KINGS MOUNTAIN RD
MARTINSVILLE, VA24112-6748
Phone: 276-638-5433
Fax: 276-622-2207
Website:
Specialty Taxonomy Code
* Ambulance 341600000X
Non-emergency Medical Transport (VAN) 343900000X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE TRANSPORTATION SERVICE, LLC.

NPI Number 1922258250
Legal business name
LBN
PROVIDENCE TRANSPORTATION SERVICE, LLC.
Authorized official DUSTIN ARSENEAULT - (AUTHORIZED AGENT)
Entity Organization
Organization subpart No
Enumeration date 09/23/2008
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 1283
  • VA License #: 499
  • NC Medicaid: 4906939
  • VA Medicaid: 1922258250
  • VA Other: 499 MOTOR CARRIER LICENSE - NON-EMERGENCY MEDICAL TRANSPORT

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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