Organization
SUPER MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEYOUM KASSA (OWNER/MANAGER)
(804) 714-9889
Entity
Organization
Contact information
Practice address
7112 SPICEWOOD DR, MECHANICSVILLE, VA 23111-5601
(804) 714-9889
Mailing address
7112 SPICEWOOD DR, MECHANICSVILLE, VA 23111-5601
(804) 714-9889
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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