Organization
RELIANCE MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GRIMES (DIRECTOR OF SPECIAL PROJECTS)
(757) 456-5147
Entity
Organization
Contact information
Practice address
5261 CHALLEDON DR, VIRGINIA BEACH, VA 23462-6315
(757) 456-5147
(757) 456-5149
Mailing address
156 NEWTOWN RD STE A-1, VIRGINIA BEACH, VA 23462-2410
(757) 456-5147
(757) 456-5149
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
B201201852
VA
343900000X
Non-emergency Medical Transport (VAN)
B201201852
VA
Other
Enumeration date
09/30/2013
Last updated
08/30/2023
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