Healthcare Provider Details

I. General information

NPI: 1316482581
Provider Name (Legal Business Name): CENTRAL EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 12/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 HAWK NEST CT
RICHMOND VA
23227-1271
US

IV. Provider business mailing address

161 HAWK NEST CT
RICHMOND VA
23227-1271
US

V. Phone/Fax

Practice location:
  • Phone: 804-402-2735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number507
License Number StateVA

VIII. Authorized Official

Name: CLINTON PERKINS
Title or Position: CEO
Credential:
Phone: 804-402-2735