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Organization

NICK MEDICAL TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STANLEY NICHOLAS (DIRECTOR OF OPERATIONS)
(240) 401-7778
Entity
Organization

Contact information

Practice address
1727 KING ST STE 300, ALEXANDRIA, VA 22314-2761
(240) 401-7778
Mailing address
1727 KING ST STE 300, ALEXANDRIA, VA 22314-2761
(240) 401-7778

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
03/25/2019
Last updated
10/10/2023
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