Provider Demographics
NPI:1316461494
Name:CHRISTIAN MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:CHRISTIAN MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANKWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-337-2021
Mailing Address - Street 1:7522 WOODSIDE LN APT 24
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-2047
Mailing Address - Country:US
Mailing Address - Phone:703-337-2021
Mailing Address - Fax:
Practice Address - Street 1:7522 WOODSIDE LN APT 24
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2047
Practice Address - Country:US
Practice Address - Phone:703-337-2021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)