Provider Demographics
NPI:1477925659
Name:GMA INTERVENTIONS, LLC
Entity Type:Organization
Organization Name:GMA INTERVENTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:757-490-1056
Mailing Address - Street 1:870 NORTH NEWTOWN RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1398
Mailing Address - Country:US
Mailing Address - Phone:757-490-1056
Mailing Address - Fax:757-490-1091
Practice Address - Street 1:870 NORTH NEWTOWN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1398
Practice Address - Country:US
Practice Address - Phone:757-490-1056
Practice Address - Fax:757-490-1091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102083251S00000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)