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Contact Information

FULL MOON MEDICAL TRANSPORTATION LLC
11424 OLD MOUNTAIN RD
GLEN ALLEN, VA23060-1916
 Phone: 804-878-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Network Company

342000000X
Indicates primary specialty

NPI Profile & details for FULL MOON MEDICAL TRANSPORTATION LLC

NPI Number 1639865249
LBN Legal business name FULL MOON MEDICAL TRANSPORTATION LLC
Authorized official WOSSEN BELETE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2023
Last updated 04/22/2023 - About 3 years ago
Identifiers n/a
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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