Healthcare Provider Details

I. General information

NPI: 1356541403
Provider Name (Legal Business Name): NEW FREEDOM TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6011 NINE MILE RD
RICHMOND VA
23223-3550
US

IV. Provider business mailing address

13807 VILLAGE MILL DR STE 301
MIDLOTHIAN VA
23114-4361
US

V. Phone/Fax

Practice location:
  • Phone: 804-328-2340
  • Fax: 804-328-2334
Mailing address:
  • Phone: 804-328-2340
  • Fax: 804-328-2334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number60
License Number StateVA

VIII. Authorized Official

Name: B. J. BATCHELOR
Title or Position: OWNER
Credential:
Phone: 804-241-0949