Marathon Rva Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MARATHON RVA TRANSPORTATION LLC

Practice address

2671 St Elias Dr
Henrico, VA 23294-3535

Phone

(646) 716-2684

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Tesfalem Aberra Tegegn

Title

Owner

Phone

(646) 716-2684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1780344150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 ST ELIAS DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943535",
            "telephone_number": "646-716-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 ST ELIAS DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943535",
            "telephone_number": "646-716-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON RVA TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "TEGEGN",
        "authorized_official_first_name": "TESFALEM",
        "authorized_official_middle_name": "ABERRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-716-2684"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Henrico, VA
• Providers in Henrico, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.