Reliance Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

B201201852 Issued in VA

Legal business name

RELIANCE MEDICAL TRANSPORT, LLC

Practice address

5261 Challedon Dr
Virginia Beach, VA 23462-6315

Phone

(757) 456-5147

Fax

(757) 456-5149

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

Jason Grimes

Title

Director of Special Projects

Phone

(757) 456-5147

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Julio Moncion, D.O.

  • Emergency Medicine Physician
  • Washington, PA
  • NPI 1609181130
  NPD

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1609203140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 NEWTOWN RD STE A-1",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622410",
            "telephone_number": "757-456-5147",
            "fax_number": "757-456-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 CHALLEDON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626315",
            "telephone_number": "757-456-5147",
            "fax_number": "757-456-5149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281443326",
            "country_code": "US",
            "telephone_number": "704-748-0454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281443326",
            "country_code": "US",
            "telephone_number": "704-748-0454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANCE MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL PROJECTS",
        "authorized_official_telephone_number": "757-456-5147"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "B201201852",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "B201201852",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.