=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154922706
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAVIGATOR TRANSIT LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2020
-----------------------------------------------------
Last Update Date | 11/02/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7400 BEAUFONT SPRINGS DR STE 300
-----------------------------------------------------
City | NORTH CHESTERFIELD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23225-5519
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-318-4440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14801 COLONY OAK TER
-----------------------------------------------------
City | MIDLOTHIAN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23114-4680
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-433-3660
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | GLENN EDWARD JOHNSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-433-3660
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------