Provider Demographics
NPI:1134683121
Name:FRANCISCAN BRETHREN OF ST PHILIP
Entity Type:Organization
Organization Name:FRANCISCAN BRETHREN OF ST PHILIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-645-6627
Mailing Address - Street 1:PO BOX 1356
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23187-1356
Mailing Address - Country:US
Mailing Address - Phone:757-645-6627
Mailing Address - Fax:757-903-2766
Practice Address - Street 1:2208 JOLLY POND RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7553
Practice Address - Country:US
Practice Address - Phone:757-645-6627
Practice Address - Fax:757-903-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1427355908Medicaid