Provider Demographics
NPI:1588936066
Name:BRIGHTER SOLUTIONS MEDICAL TRANSPORT
Entity type:Organization
Organization Name:BRIGHTER SOLUTIONS MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:804-651-8397
Mailing Address - Street 1:17286 PARSONS RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERDAM
Mailing Address - State:VA
Mailing Address - Zip Code:23015-1560
Mailing Address - Country:US
Mailing Address - Phone:804-651-8397
Mailing Address - Fax:
Practice Address - Street 1:17286 PARSONS RIDGE RD
Practice Address - Street 2:
Practice Address - City:BEAVERDAM
Practice Address - State:VA
Practice Address - Zip Code:23015-1560
Practice Address - Country:US
Practice Address - Phone:804-651-8397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHTER SOLUTIONS MEDICAL TRANSPORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT25026318343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)