Healthcare Provider Details

I. General information

NPI: 1013428952
Provider Name (Legal Business Name): PEOPLES 1ST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2017
Last Update Date: 10/30/2020
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3108 E LABURNUM AVE
RICHMOND VA
23223-1221
US

IV. Provider business mailing address

3108 E LABURNUM AVE
RICHMOND VA
23223-1221
US

V. Phone/Fax

Practice location:
  • Phone: 804-437-0237
  • Fax: 804-344-3344
Mailing address:
  • Phone: 804-437-0237
  • Fax: 804-344-3344

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: SHAWN JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 804-437-0237