MEDICARE: A & S MEDICAL TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1073091419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & S MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	10932 GREENAIRE PL
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-2046
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10932 GREENAIRE PL
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-2046
Country	:	US
Telephone Number	:	804-325-9744
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADAM DAWELBEIT
Credential	:
Telephone Number	:	804-218-3610

Provider Enumeration Date	:	07/28/2018
Last Update Date	:	07/28/2018

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