Provider Demographics
NPI:1174340038
Name:D & A MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:D & A MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARVIN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-429-8516
Mailing Address - Street 1:969 FALL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:VA
Mailing Address - Zip Code:24586-3217
Mailing Address - Country:US
Mailing Address - Phone:434-429-8516
Mailing Address - Fax:
Practice Address - Street 1:969 FALL CREEK RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:VA
Practice Address - Zip Code:24586-3217
Practice Address - Country:US
Practice Address - Phone:434-429-8516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251K00000XAgenciesPublic Health or Welfare
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental