Healthcare Provider Details

I. General information

NPI: 1932664331
Provider Name (Legal Business Name): PATIENT ASSIST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2019
Last Update Date: 02/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 LEWIS HEIGHTS RD
DRYDEN VA
24243-8360
US

IV. Provider business mailing address

164 LEWIS HEIGHTS RD
DRYDEN VA
24243-8360
US

V. Phone/Fax

Practice location:
  • Phone: 276-318-0069
  • Fax:
Mailing address:
  • Phone: 276-318-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES ALBERT RIDINGS JR.
Title or Position: MANAGING MEMBER
Credential:
Phone: 276-318-0069