MEDICARE: 1ST CLASS MEDICAL TRANSPORT 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	:	1538696661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST CLASS MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	8014 MIDLOTHIAN TURNPIKE
Second Line	:	SUITE 315
City	:	RICHMOND
State	:	VA
Zip	:	23235
Country	:	US
Telephone Number	:	804-519-3053
Fax Number	:

Provider Business Practice Location Address
First Line	:	8014 MIDLOTHIAN TPKE STE 315
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-5291
Country	:	US
Telephone Number	:	804-519-3053
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AHMAD ABUALRUB
Credential	:
Telephone Number	:	917-604-9169

Provider Enumeration Date	:	05/19/2017
Last Update Date	:	07/21/2022

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