Delta Medical Transport, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DELTA MEDICAL TRANSPORT, INC.

Practice address

8305 Willow Ridge PL
Glen Allen, VA 23060-3296

Phone

(804) 755-7774

Fax

(804) 755-1709

NPI assigned

Jul 29, 2013

Last updated

Jul 29, 2013By 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

Mr. Elagib M Elbashir

Title

President

Phone

(804) 755-7774

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Delta Medical Transport2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Delta Medical Transport

  • Ambulance
  • Richmond, VA
  • NPI 1316334170
  NPD tax ID

Locations

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1528400702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28723",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232288723",
            "telephone_number": "804-755-7774",
            "fax_number": "804-755-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 WILLOW RIDGE PL",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603296",
            "telephone_number": "804-755-7774",
            "fax_number": "804-755-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "ELBASHIR",
        "authorized_official_first_name": "ELAGIB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-755-7774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Megan Zehnle Del Campo, OD
• Gregory F Delano Jr., PT, DPT
• Campbell Shell Delk, DDS
• Judith Ann Dellaripa, RN, FNP-BC
• Stephen M Delo Jr., LCSW
• Dental Professionals of Virginia, P.C. (Family Dentistry of Short Pump)
• Ronald James Depue Jr., RPH
• Keith Andrew Derco, M.D.
• Neemisha Desai, DC
• Bethann Wise Detwiler, M.A., L.P.C.

• Land Ambulance in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.