Provider Demographics
NPI:1063117356
Name:FAMILY 1ST MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:FAMILY 1ST MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-492-2884
Mailing Address - Street 1:2453 CORONET WAY NW APT V6
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-1341
Mailing Address - Country:US
Mailing Address - Phone:704-492-2884
Mailing Address - Fax:
Practice Address - Street 1:2453 CORONET WAY NW APT V6
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-1341
Practice Address - Country:US
Practice Address - Phone:704-492-2884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport