Healthcare Provider Details

I. General information

NPI: 1114950854
Provider Name (Legal Business Name): PATIENT TRANSPORT SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 09/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 N MAIN ST
HALIFAX VA
24558-3211
US

IV. Provider business mailing address

PO BOX 698
HALIFAX VA
24558-0698
US

V. Phone/Fax

Practice location:
  • Phone: 434-476-1504
  • Fax: 434-476-4962
Mailing address:
  • Phone: 434-476-1501
  • Fax: 434-476-4962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number509
License Number StateVA

VIII. Authorized Official

Name: MR. RICHARD T BURKHOLDER
Title or Position: DIRECTOR
Credential:
Phone: 434-476-1501