Organization
ON TRACK TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YEMESERACH DESSALEGN (FOUNDER)
(917) 415-1789
Entity
Organization
Contact information
Practice address
9001 PATTERSON AVE APT 25, RICHMOND, VA 23229-6183
(804) 500-0484
(804) 500-0483
Mailing address
8801 DENA DR, HENRICO, VA 23229-4610
(804) 500-0484
(804) 500-0483
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622
OPERATING AUTHORITY
VA
01
—
780
NONE EMERGENCY MEDICAL TRANSPORTATION
VA
Enumeration date
03/08/2019
Last updated
01/12/2023
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