MEDICARE: AMERICAN MEDICAL TRANSPORT 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	:	1477402741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	404 W BROAD ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4370
Country	:	US
Telephone Number	:	804-618-2992
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 W BROAD ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23220-4370
Country	:	US
Telephone Number	:	804-618-2992
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KHALAFALLA KHALAFALLA
Credential	:
Telephone Number	:	804-618-2992

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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