Provider Demographics
NPI:1528514460
Name:GM TRANSPORT LLC
Entity type:Organization
Organization Name:GM TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCLIFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-770-5698
Mailing Address - Street 1:301 LONG SHORT RD
Mailing Address - Street 2:
Mailing Address - City:JAVA
Mailing Address - State:VA
Mailing Address - Zip Code:24565-4601
Mailing Address - Country:US
Mailing Address - Phone:434-770-5698
Mailing Address - Fax:434-836-8279
Practice Address - Street 1:301 LONG SHORT RD
Practice Address - Street 2:
Practice Address - City:JAVA
Practice Address - State:VA
Practice Address - Zip Code:24565-4601
Practice Address - Country:US
Practice Address - Phone:434-770-5698
Practice Address - Fax:434-836-8279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23187343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)