Provider Demographics
NPI:1104652411
Name:BLUE RIDGE TRANSPORTS LLC
Entity type:Organization
Organization Name:BLUE RIDGE TRANSPORTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING AGENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATRICIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:540-671-3884
Mailing Address - Street 1:70 SIGNAL KNOB COTTAGE DR
Mailing Address - Street 2:
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-3799
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:70 SIGNAL KNOB COTTAGE DR
Practice Address - Street 2:
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-3799
Practice Address - Country:US
Practice Address - Phone:540-671-3884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)