Provider Demographics
NPI:1245978543
Name:CENTRAL VIRGINIA MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:CENTRAL VIRGINIA MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CE'NIQUADAWS
Authorized Official - Middle Name:DONAE
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:ASSOCIATES DEGREE
Authorized Official - Phone:434-363-1940
Mailing Address - Street 1:70 SMITH RD
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1505
Mailing Address - Country:US
Mailing Address - Phone:434-363-1940
Mailing Address - Fax:
Practice Address - Street 1:70 SMITH RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-1505
Practice Address - Country:US
Practice Address - Phone:434-363-1940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)