Fountain Medicals LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

FOUNTAIN MEDICALS LLC

Practice address

2121 Eisenhower Ave Ste 200
Alexandria, VA 22314-4688

Phone

(304) 919-0667

NPI assigned

Nov 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fidel Nwazuzu

Title

Operations Manager

Phone

(304) 919-0667

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1124735873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "304-919-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE STE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144688",
            "telephone_number": "304-919-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN MEDICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "NWAZUZU",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "304-919-0667"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forward Steps Therapy PLLC
• Lauren Foster, OTR/L OTD
• Chancellor Eugene Foulks, DC
• Foundations Physical Therapy, LLC
• Fountain Medical Transport LLC
• Kathleen Fountain, LCSW
• Fountains Washington House SL, LLC
• Mariya Fox-Rabinovich, MA, RD, LDN, CDCES
• Christopher Hughes Fox, DMD, DMSC
• Heather Fox, LMT

• Non-emergency Medical Transport (VAN) in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.