Active NPI
D19 Transportation Service Inc.
Doing business as D19 Cab Service
- Non-emergency Medical Transport (VAN)
- Stony Creek, VA
National Provider Identifier
1669857835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 24510
- Legal business name
- D19 TRANSPORTATION SERVICE INC.
- Doing business as
- D19 Cab Service
- Practice address
- 10004 Blue Star Hwy
Stony Creek, VA 23882-3218 - Phone
- (434) 632-1157
- Fax
- (866) 230-2666
- NPI assigned
- Jul 29, 2015
- Last updated
- Jul 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Earl A Blackman, ATP
- Title
- President
- Phone
- (434) 632-1157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 24510 | VA | Primary |
Addresses
Primary practice location
10004 Blue Star Hwy
Stony Creek, VA 23882-3218
Mailing address
112 Lavender Drive
A
Max Meadows, VA 24360
Phone (434) 623-1157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66178 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
Other names 1
- D19 Cab Service
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438128000000",
"number": "1669857835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LAVENDER DRIVE",
"address_2": "A",
"city": "MAX MEADOWS",
"state": "VA",
"postal_code": "24360",
"telephone_number": "434-623-1157",
"fax_number": "866-230-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 BLUE STAR HWY",
"city": "STONY CREEK",
"state": "VA",
"postal_code": "238823218",
"telephone_number": "434-632-1157",
"fax_number": "866-230-2666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D19 TRANSPORTATION SERVICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A",
"authorized_official_last_name": "BLACKMAN",
"authorized_official_first_name": "EARL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "434-632-1157",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ATP"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "VA",
"license": "24510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "66178",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "D19 Cab Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stony Creek, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.