1588339618 NPI number — BE THERE FIRST MEDICAL TRANSPORTATION LLC

Table of content: AMY MARIE RAILSON APRN, CNS (NPI 1285990226)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588339618 NPI number — BE THERE FIRST MEDICAL TRANSPORTATION LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BE THERE FIRST MEDICAL TRANSPORTATION LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588339618
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/11/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
252 WEATHERFORD WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWPORT NEWS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23602-7579
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-944-7704
Provider Business Mailing Address Fax Number:
757-224-1561

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
252 WEATHERFORD WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT NEWS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23602-7579
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-944-7704
Provider Business Practice Location Address Fax Number:
757-224-1561
Provider Enumeration Date:
08/11/2021

Additional Information

Authorized Official

Authorized Official Last Name:
BETHEA
Authorized Official First Name:
TIFFANY
Authorized Official Middle Name:
YVONNE
Authorized Official Title or Position:
OWNER/OPERATOR
Authorized Official Telephone Number:
757-944-7704

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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