MEDICARE: GF NETWORKS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1467275974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GF NETWORKS LLC

Provider Business Mailing Address
First Line	:	4612 HUMMINGBIRD WAY # 98
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-3747
Country	:	US
Telephone Number	:	704-989-0411
Fax Number	:

Provider Business Practice Location Address
First Line	:	4612 HUMMINGBIRD WAY # 98
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-3747
Country	:	US
Telephone Number	:	704-989-0411
Fax Number	:

Authorized Official
Title or Position	:	OPERATING MANAGER
Name	:	MR. TEMESGEN FISSEHAYE
Credential	:
Telephone Number	:	704-989-0411

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	11/04/2024

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Directions to “GF NETWORKS LLC ” Practice Location

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