NPIMap

Ira Blackwell

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Heathsville, VA

NPI 1669978599 · NPPES record last updated Mar 31, 2018

Key facts

NPI
1669978599
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
T66908696 (VA)
Practice address
28 Family Way Lane
Heathsville, VA 22473
Phone
(804) 580-8117
NPI assigned
Mar 31, 2018
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T66908696VAMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Blackwell Transportation Non-Emergency Medical Transport (Van) Past
since Feb 16, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T66908696 VA Yes

Addresses

Primary practice location

28 Family Way Lane
Heathsville, VA 22473

Mailing address

28 Family Way Lane
Heathsville, VA 22473
Phone (804) 580-8117

Other providers in Heathsville, VA

All providers in Heathsville, VA · Non-emergency Medical Transport (VAN) in Virginia

Sources for this page

Verify at the official NPI Registry.