Provider Demographics
NPI:1356901383
Name:AUSTIN MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:AUSTIN MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-548-3915
Mailing Address - Street 1:8010 RIDGECREST CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-1145
Mailing Address - Country:US
Mailing Address - Phone:434-594-3048
Mailing Address - Fax:434-594-3049
Practice Address - Street 1:8010 RIDGECREST CT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1145
Practice Address - Country:US
Practice Address - Phone:434-594-3048
Practice Address - Fax:434-594-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)