Provider Demographics
NPI:1710491055
Name:RICHMOND MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:RICHMOND MEDICAL TRANSPORTATION LLC
Other - Org Name:VA TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GOITOM
Authorized Official - Middle Name:GEBRETINSAE
Authorized Official - Last Name:FESSHATSION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-908-6090
Mailing Address - Street 1:10824 TUTELO CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-8033
Mailing Address - Country:US
Mailing Address - Phone:804-908-6090
Mailing Address - Fax:
Practice Address - Street 1:10824 TUTELO CT
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-8033
Practice Address - Country:US
Practice Address - Phone:804-908-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-23
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical