Organization
COMMONWEALTH EMS, LLC
Active
Organization
COMMONWEALTH EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAZAR MOHAMMED (OWNER)
(202) 351-1512
Entity
Organization
Contact information
Practice address
101 JULIAD CT, SUITE 118, FREDERICKSBURG, VA 22406-1123
(202) 351-1512
(540) 371-4821
Mailing address
101 JULIAD CT, SUITE 118, FREDERICKSBURG, VA 22406-1123
(202) 351-1512
(540) 371-4821
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1354
VIRGINIA DEPARTMENT OF HEALTH, OFFICE OF EMERGENCY MEDICAL SERVICES
VA
Enumeration date
06/11/2015
Last updated
07/21/2016
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