MEDICARE: A1 MEDICAL TRANSPORTATION INCORPORATED

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	:	1487298758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A1 MEDICAL TRANSPORTATION INCORPORATED

Provider Business Mailing Address
First Line	:	5301 HOLLAND RD
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23437-9568
Country	:	US
Telephone Number	:	757-582-7498
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 HOLLAND RD
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23437-9568
Country	:	US
Telephone Number	:	757-582-7498
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADRIENNE BOWERS
Credential	:
Telephone Number	:	757-266-8051

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	10/30/2019

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