Provider Demographics
NPI:1588014484
Name:TRINITY PLUS 1 TRANSPORTATION LLC
Entity Type:Organization
Organization Name:TRINITY PLUS 1 TRANSPORTATION LLC
Other - Org Name:TRINITY PLUS 1 TRANSPORTATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMISON
Authorized Official - Suffix:
Authorized Official - Credentials:BBA, MDIV
Authorized Official - Phone:804-479-4007
Mailing Address - Street 1:P.O. BOX 493
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860
Mailing Address - Country:US
Mailing Address - Phone:804-479-4007
Mailing Address - Fax:
Practice Address - Street 1:108 N. 7TH AVENUE
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860
Practice Address - Country:US
Practice Address - Phone:804-479-4007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24145343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)