Healthcare Provider Details
I. General information
NPI: 1144609272
Provider Name (Legal Business Name): ZIPPP N GO TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2015
Last Update Date: 05/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 WINDOMERE AVE
RICHMOND VA
23227-2956
US
IV. Provider business mailing address
705 WINDOMERE AVE
RICHMOND VA
23227-2956
US
V. Phone/Fax
- Phone: 678-520-1031
- Fax: 804-658-2793
- Phone: 678-520-1031
- Fax: 804-658-2793
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
LINWOOD
LAMONT
ALFORD
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 678-520-1031