Organization
PALADIN MEDICAL TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN M HADDAWAY (OWNER)
(434) 315-5620
Entity
Organization
Contact information
Practice address
1201 W. THIRD STREET, FARMVILLE, VA 23901-2646
(434) 315-5620
(434) 315-5840
Mailing address
1201 W. THIRD STREET, FARMVILLE, VA 23901-2646
(434) 315-5620
(434) 315-5840
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1261
VA
3416L0300X
Land Ambulance
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010396328
—
VA
01
—
249442
ANTHEM
VA
01
—
P00387956
PALMETTO
VA
Enumeration date
09/14/2006
Last updated
06/11/2009
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