Provider Demographics
NPI:1346539368
Name:BPP HEALTH SERVICES AGENCY
Entity Type:Organization
Organization Name:BPP HEALTH SERVICES AGENCY
Other - Org Name:BPP HEALTH SERVICES AGENCY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-234-2001
Mailing Address - Street 1:3513 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-1115
Mailing Address - Country:US
Mailing Address - Phone:571-234-2001
Mailing Address - Fax:571-931-0440
Practice Address - Street 1:3513 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-1115
Practice Address - Country:US
Practice Address - Phone:571-234-2001
Practice Address - Fax:571-931-0440
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BPP HEALTH SERVICES AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA61-30-9176343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)