Organization
DELTA MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY VALENTINE MABE (ADMINISTRATOR)
(804) 755-7774
Entity
Organization
Contact information
Practice address
4795 BETHLEHEM RD, SUITE C, RICHMOND, VA 23230-2516
(804) 755-7774
(804) 755-1709
Mailing address
4795 BETHLEHEM RD, SUITE C, RICHMOND, VA 23230-2516
(804) 755-7774
(804) 755-1709
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
139
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528400702
NPI
VA
01
—
Q454020001
PROVIDER TRANSACTION ACCESS NUMBER
VA
Enumeration date
04/20/2015
Last updated
04/20/2015
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