Provider Demographics
NPI:1154848513
Name:MOSLEY MEDICAL TAXI TRANSPORTATION SERVICE LLC
Entity Type:Organization
Organization Name:MOSLEY MEDICAL TAXI TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:MOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-735-8410
Mailing Address - Street 1:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:VA
Mailing Address - Zip Code:23964-0054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2401 TOBACCO HILL RD
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:VA
Practice Address - Zip Code:23964-3526
Practice Address - Country:US
Practice Address - Phone:424-735-8410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-26
Last Update Date:2017-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)