Organization
PROVISIONS MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE HODGES (OWNER OPERATOR)
(757) 609-8098
Entity
Organization
Contact information
Practice address
947 MILDRED ST UNIT B, NORFOLK, VA 23518-2529
(757) 609-8098
Mailing address
PO BOX 8126, NORFOLK, VA 23503-0126
(757) 609-8098
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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