Healthcare Provider Details

I. General information

NPI: 1366484644
Provider Name (Legal Business Name): CONTINENTAL EMERGENCY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 ATLEE RD
MECHANICSVILLE VA
23116-1844
US

IV. Provider business mailing address

111 BULIFANTS BLVD SUITE B
WILLIAMSBURG VA
23188-5711
US

V. Phone/Fax

Practice location:
  • Phone: 804-764-6111
  • Fax:
Mailing address:
  • Phone: 757-221-7111
  • Fax: 757-221-8085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. M STEPHEN KRAMER
Title or Position: PRESIDENT
Credential: MD
Phone: 804-764-6111