FOUNTAIN MEDICAL TRANSPORT LLC (NPI# 1649891425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649891425 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN MEDICAL TRANSPORT LLC |
| Practice Address |
1727 King St Ste 137 Alexandria VA 22314-2761 |
| Practice Telephone | 3049190667 |
| Mailing Telephone | 3049190667 |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-05-02 |
| Authorized Official Name | FIDEL NWAZUZU (OWERN) |
| Authorized Official Telephone | 3049190667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
1727 KING ST STE 137 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473016 | A Plus Medical Transportation, Co. | Non-emergency Medical Transport (VAN) | 6100 Dixie Ln, Alexandria, LA 71301-2225 | 2020-10-08 |
| 1316596851 | Pure Love Medical Transport LLC | Non-emergency Medical Transport (VAN) | 5405 Duke St Apt T13, Alexandria, VA 22304-3163 | 2019-09-07 |
| 1447806526 | Drusilla Boateng Osei | Non-emergency Medical Transport (VAN) | 2202 N Pickett St Apt T2, Alexandria, VA 22304-1085 | 2019-08-14 |
| 1669934501 | Statewide Trans Inc | Non-emergency Medical Transport (VAN) | 3028 N Macarthur Dr, Alexandria, LA 71303-4142 | 2019-04-01 |
| 1164980918 | Tsion Mogus | Non-emergency Medical Transport (VAN) | 6318 Indian Run Pkwy # 2, Alexandria, VA 22312-6439 | 2019-03-11 |
| 1467910497 | King's Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 718 N 3rd St, Alexandria, LA 71301-8593 | 2019-03-08 |
| 1366900847 | Nigussie G Mogus Dba Batmn | Non-emergency Medical Transport (VAN) | 6318 Indian Run Pkwy, Alexandria, VA 22312-6439 | 2019-03-04 |
| 1467923102 | Compassion8 Kare Transportation LLC | Non-emergency Medical Transport (VAN) | 3700 Government St, Alexandria, LA 71302-3326 | 2018-12-06 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1225523723 | Optima Transportation | Non-emergency Medical Transport (VAN) | 4705 Eisenhower Ave, Alexandria, VA 22304-4805 | 2018-06-27 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on FOUNTAIN MEDICAL TRANSPORT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.