NPI Record of LIBERTY MEDICAL TRANSPORTATION LLC (LIBERTY MEDICAL TRANSPORTATION LLC) NPI 1053800581

Non-emergency Medical Transport (VAN) in Stafford, VA

Complete NPI Record

Field Name Value Definition
NPI1053800581The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NameLIBERTY MEDICAL TRANSPORTATION LLCThe name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization NameLIBERTY MEDICAL TRANSPORTATION LLCOther name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address117 AUSTIN DRThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City NameSTAFFORDThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameVAThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code225561332The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number5407790215The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address117 AUSTIN DRThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSTAFFORDThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameVAThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code225561332The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number5407790215The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number5407790218The fax number associated with the location address of the provider being identified.
Provider Enumeration Date5/10/2018The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date5/10/2018The date that a record was last updated or changed.
Authorized Official Last NameRAFIQThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameHIBAThe first name of the authorized official.
Authorized Official Middle NameTURThe middle name of the authorized official.
Authorized Official Title or PositionOWNERThe title or position of the authorized official.
Authorized Official Telephone Number5407790215The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1343900000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Organization SubpartN