Provider Demographics
NPI:1598472482
Name:AG GOLDEN MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AG GOLDEN MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AGYEMANG
Authorized Official - Middle Name:DUAH
Authorized Official - Last Name:GYAMFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-342-2165
Mailing Address - Street 1:8645 MAHOGANY CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-8404
Mailing Address - Country:US
Mailing Address - Phone:571-342-2164
Mailing Address - Fax:
Practice Address - Street 1:8645 MAHOGANY CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8404
Practice Address - Country:US
Practice Address - Phone:571-342-2164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)