Provider Demographics
NPI:1114950854
Name:PATIENT TRANSPORT SYSTEMS, INC
Entity Type:Organization
Organization Name:PATIENT TRANSPORT SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:T
Authorized Official - Last Name:BURKHOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-476-1501
Mailing Address - Street 1:PO BOX 698
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:VA
Mailing Address - Zip Code:24558-0698
Mailing Address - Country:US
Mailing Address - Phone:434-476-1501
Mailing Address - Fax:434-476-4962
Practice Address - Street 1:11 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:VA
Practice Address - Zip Code:24558-3211
Practice Address - Country:US
Practice Address - Phone:434-476-1504
Practice Address - Fax:434-476-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA590003877OtherRR MEDICARE
VA009002448Medicaid
VA590003877OtherRR MEDICARE