Provider Demographics
NPI:1619742517
Name:VALLEY CARE TRANSPORT
Entity type:Organization
Organization Name:VALLEY CARE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:MCKENZIE
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-335-0523
Mailing Address - Street 1:2041 WOLF GAP RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22824-2619
Mailing Address - Country:US
Mailing Address - Phone:540-335-0523
Mailing Address - Fax:
Practice Address - Street 1:2041 WOLF GAP RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:VA
Practice Address - Zip Code:22824-2619
Practice Address - Country:US
Practice Address - Phone:540-335-0523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)