Organization
PROVIDENCE TRANSPORTATION SERVICE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN KYLE ARSENEAULT (AUTHORIZED AGENT)
(276) 638-5433
Entity
Organization
Contact information
Practice address
2456 KINGS MOUNTAIN RD, MARTINSVILLE, VA 24112-6748
(276) 638-5433
(276) 622-2207
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1283
VA
343900000X
Non-emergency Medical Transport (VAN)
499
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922258250
—
VA
05
—
4906939
—
NC
01
—
499
MOTOR CARRIER LICENSE - NON-EMERGENCY MEDICAL TRANSPORT
VA
Enumeration date
09/23/2008
Last updated
07/21/2022
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