Active NPI
Vantage Medical Trans
- Non-emergency Medical Transport (VAN)
- Palmyra, VA
National Provider Identifier
1174169619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- VANTAGE MEDICAL TRANS
- Practice address
- 13652 James Madison Hwy Unit G
Palmyra, VA 22963-4499 - Phone
- (434) 305-7728
- NPI assigned
- Nov 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Habib Rahim Sr.
- Title
- Manager
- Phone
- (434) 305-7728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
13652 James Madison Hwy Unit G
Palmyra, VA 22963-4499
Mailing address
1433 Maymont CT
Charlottesville, VA 22902-6497
Phone (434) 305-7728
National Provider Directory
National Provider DirectoryLocations
13652 James Madison Hwy
Unit G
Palmyra, VA 22963
Phone (434) 305-7728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574121600000",
"number": "1174169619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 MAYMONT CT",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229026497",
"telephone_number": "434-305-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13652 JAMES MADISON HWY UNIT G",
"city": "PALMYRA",
"state": "VA",
"postal_code": "229634499",
"telephone_number": "434-305-7728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANTAGE MEDICAL TRANS",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A",
"authorized_official_last_name": "RAHIM",
"authorized_official_first_name": "HABIB",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "434-305-7728",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmyra, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.