Provider Demographics
NPI:1497320535
Name:S & S GOLDEN TRANSPORTATION, LLC
Entity type:Organization
Organization Name:S & S GOLDEN TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SELWYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:804-536-0031
Mailing Address - Street 1:7601 DUNOLLIE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23838-5354
Mailing Address - Country:US
Mailing Address - Phone:804-536-0031
Mailing Address - Fax:
Practice Address - Street 1:7601 DUNOLLIE DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23838-5354
Practice Address - Country:US
Practice Address - Phone:804-536-0031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1OtherNA