MEDICARE: FOREST MEDICAL TRANSPORTATION

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	:	1649960295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	5127 EVERETT RD
Second Line	:
City	:	FOREST
State	:	VA
Zip	:	24551-3844
Country	:	US
Telephone Number	:	434-942-1164
Fax Number	:

Provider Business Practice Location Address
First Line	:	5127 EVERETT RD
Second Line	:
City	:	FOREST
State	:	VA
Zip	:	24551-3844
Country	:	US
Telephone Number	:	434-942-1164
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATASHA SMITH
Credential	:
Telephone Number	:	434-942-1164

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/08/2023

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Directions to “FOREST MEDICAL TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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