MEDICARE: MOVING FORWARD TRANSPORTATION, INC.

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	344600000X	Taxi		VA

General Provider Information

NPI Number	:	1235653684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOVING FORWARD TRANSPORTATION, INC.

Provider Business Mailing Address
First Line	:	15802 JEFFERSON DAVIS HWY
Second Line	:
City	:	SOUTH CHESTERFIELD
State	:	VA
Zip	:	23834-5202
Country	:	US
Telephone Number	:	804-451-4044
Fax Number	:	804-524-2435

Provider Business Practice Location Address
First Line	:	15802 JEFFERSON DAVIS HWY
Second Line	:
City	:	SOUTH CHESTERFIELD
State	:	VA
Zip	:	23834-5202
Country	:	US
Telephone Number	:	804-451-4044
Fax Number	:	804-524-2435

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. DENEEN JOANN GREEN
Credential	:
Telephone Number	:	804-721-6341

Provider Enumeration Date	:	07/27/2017
Last Update Date	:	07/21/2022

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