Shore Transport Services Inc.
Organization Active NPI Ambulance · Parksley, VA
NPI 1174945489 · NPPES record last updated Jan 7, 2014
Key facts
- NPI
- 1174945489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- SHORE TRANSPORT SERVICES INC.
- Practice address
- 24076 Lee Mont Rd.
Parksley, VA 23421 - Phone
- (757) 665-1122
- NPI assigned
- Jan 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Frederick Matthews
- Title
- Ceo
- Phone
- (757) 665-1122
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140430002004 | VA | Part B Supplier - Ambulance Service Supplier | 5799918645 | Practice locations: Parksley, VA |
National Provider Directory
- Tax ID family
- Acorn Counseling LLC
Locations
24076 Lee Mont Rd
Parksley, VA 23421
Phone (757) 665-1122
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes | ||
| Non-emergency Medical Transport (VAN) | 343900000X | VA |
Addresses
Primary practice location
24076 Lee Mont Rd.
Parksley, VA 23421
Mailing address
24076 Lee Mont Rd.
Parksley, VA 23421
Other providers in Parksley, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.