Provider Demographics
NPI:1902458920
Name:S & M MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:S & M MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-892-7489
Mailing Address - Street 1:19211 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23803-1305
Mailing Address - Country:US
Mailing Address - Phone:804-892-7489
Mailing Address - Fax:
Practice Address - Street 1:19211 CHURCH RD
Practice Address - Street 2:
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23803-1305
Practice Address - Country:US
Practice Address - Phone:804-892-7489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)