Wellness Ambulance Transport LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

WELLNESS AMBULANCE TRANSPORT LLC

Practice address

16510 Bobster CT
Woodbridge, VA 22191-6316

Phone

(703) 597-6529

Fax

(703) 221-2415

NPI assigned

Apr 25, 2016

Last updated

Apr 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Abena Fynn, MBA

Title

Administrator

Phone

(703) 597-6529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1215382502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16510 BOBSTER CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916316",
            "telephone_number": "703-597-6529",
            "fax_number": "703-221-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16510 BOBSTER CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916316",
            "telephone_number": "703-597-6529",
            "fax_number": "703-221-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AMBULANCE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "FYNN",
        "authorized_official_first_name": "ABENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-597-6529",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.