Healthcare Provider Details

I. General information

NPI: 1922141977
Provider Name (Legal Business Name): CARILION PATIENT TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 S JEFFERSON ST SUITE 801
ROANOKE VA
24011-1705
US

IV. Provider business mailing address

213 S JEFFERSON ST SUITE 801
ROANOKE VA
24011-1705
US

V. Phone/Fax

Practice location:
  • Phone: 540-224-5125
  • Fax: 540-982-4948
Mailing address:
  • Phone: 540-224-5125
  • Fax: 540-982-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD LORTON
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 540-224-5125