Organization
BLOOM MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMYNE CLARK (OWNER)
(719) 373-2102
Entity
Organization
Contact information
Practice address
11818 ROCK LANDING DR STE 202B, NEWPORT NEWS, VA 23606-4230
(800) 813-2805
Mailing address
13401 SAILMAKER LN, CARROLLTON, VA 23314-3386
(719) 373-2102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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