Healthcare Provider Details

I. General information

NPI: 1295441228
Provider Name (Legal Business Name): CMF TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 CHALMERS ST
SOUTH BOSTON VA
24592-2402
US

IV. Provider business mailing address

512 CHALMERS ST
SOUTH BOSTON VA
24592-2402
US

V. Phone/Fax

Practice location:
  • Phone: 434-471-1161
  • Fax:
Mailing address:
  • Phone: 434-471-1161
  • Fax:

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: MISS CRYSTAL FAULKNER
Title or Position: OWNER
Credential:
Phone: 434-471-1161