MEDICARE: FRIENDSHIP 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)	9698N	VA

General Provider Information

NPI Number	:	1942545876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDSHIP TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	4617 COCHISE TRL
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-2556
Country	:	US
Telephone Number	:	804-447-0496
Fax Number	:

Provider Business Practice Location Address
First Line	:	4617 COCHISE TRL
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-2556
Country	:	US
Telephone Number	:	804-447-0496
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOHNNY ROBERT HUFF
Credential	:
Telephone Number	:	804-447-0496

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	12/04/2012

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Directions to “FRIENDSHIP TRANSPORTATION LLC ” Practice Location

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