Provider Demographics
NPI:1407379118
Name:MOUNTS MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:MOUNTS MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:MOUNTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-566-7945
Mailing Address - Street 1:1104 BIG RED RD
Mailing Address - Street 2:
Mailing Address - City:HURLEY
Mailing Address - State:VA
Mailing Address - Zip Code:24620-8036
Mailing Address - Country:US
Mailing Address - Phone:276-566-7945
Mailing Address - Fax:276-566-7942
Practice Address - Street 1:1104 BIG RED ROAD
Practice Address - Street 2:
Practice Address - City:HURLEY
Practice Address - State:VA
Practice Address - Zip Code:24620
Practice Address - Country:US
Practice Address - Phone:276-566-7945
Practice Address - Fax:276-566-7942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)