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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 Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for PROVIDENCE TRANSPORTATION SERVICE, LLC.

NPI # 1922258250
LBN Legal business name PROVIDENCE TRANSPORTATION SERVICE, LLC.
Authorized official DUSTIN ARSENEAULT - (AUTHORIZED AGENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2008
Last updated 07/21/2022 - About 4 years ago
Identifiers
VA License # 1283
VA License # 499
NC Medicaid 4906939
VA Medicaid 1922258250
VA Other 499 MOTOR CARRIER LICENSE - NON-EMERGENCY MEDICAL TRANSPORT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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