Healthcare Provider Details

I. General information

NPI: 1841590023
Provider Name (Legal Business Name): PTL TRANSPORTATION SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 10/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 STILLWATER DR
CHESAPEAKE VA
23320-3800
US

IV. Provider business mailing address

500 STILLWATER DRIVE
CHESAPEAKE VA
23320-3800
US

V. Phone/Fax

Practice location:
  • Phone: 757-735-3145
  • Fax: 757-277-9241
Mailing address:
  • Phone: 757-735-3145
  • Fax: 757-277-9241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateVA

VIII. Authorized Official

Name: MRS. LINDA ANN HAYDEN
Title or Position: CEO
Credential:
Phone: 757-735-3145