Organization
J&J AMBULETTE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E THOMAS JR. (OWNER)
(804) 502-0543
Entity
Organization
Contact information
Practice address
12266 PRINCE GEORGE DR, DISPUTANTA, VA 23842-4404
(804) 861-1266
(804) 861-6221
Mailing address
12266 PRINCE GEORGE DR, DISPUTANTA, VA 23842-4404
(804) 861-1266
(804) 861-6221
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
83
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41LX067181063100
LEXINGTON INSURANCE COMPANY
VA
Enumeration date
10/25/2016
Last updated
10/26/2016
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