Organization
POTOMAC VALLEY TRANSIT AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUANITA D LLOYD (ASSISTANT MANAGER)
(304) 257-1414
Entity
Organization
Contact information
Practice address
GRANT COUNTY INDUSTRIAL PARK, PETERSBURG, WV 26847
(304) 257-1414
Mailing address
PO BOX 278, PETERSBURG, WV 26847
(304) 257-1414
(304) 257-2804
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8040006000
—
WV
Enumeration date
09/28/2006
Last updated
08/22/2020
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