Organization Active NPI

Vantage Medical Trans

  • Non-emergency Medical Transport (VAN)
  • Palmyra, VA
National Provider Identifier
1174169619
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Nov 19, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.