Provider Demographics
NPI:1386199248
Name:YSAE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:YSAE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CUSHNIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-449-5881
Mailing Address - Street 1:1111 COMMONWEALTH PL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4527
Mailing Address - Country:US
Mailing Address - Phone:757-449-5881
Mailing Address - Fax:757-361-0378
Practice Address - Street 1:1111 COMMONWEALTH PL
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4527
Practice Address - Country:US
Practice Address - Phone:757-449-5881
Practice Address - Fax:757-361-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)