MEDICARE: HALLGAN 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	:	1538882477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HALLGAN LLC

Provider Business Mailing Address
First Line	:	780 LYNNHAVEN PKWY STE 400
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7332
Country	:	US
Telephone Number	:	757-304-6626
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 S FIRST COLONIAL RD STE 112
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-4618
Country	:	US
Telephone Number	:	804-605-1502
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMEBER
Name	:	MR. FURMAN MARSHALL
Credential	:
Telephone Number	:	804-778-5100

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	09/26/2022

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Directions to “HALLGAN LLC ” Practice Location

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