Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Full Moon Medical Transportation LLC

Organization Transportation Network Company · NPI 1639865249

Full Moon Medical Transportation LLC is a Transportation Network Company in Glen Allen, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11424 Old Mountain Rd
Glen Allen, VA 23060-1916
Phone: (804) 878-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Transportation Network Company (primary) Taxonomy 342000000X

Record details

NPI number1639865249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wossen Belete — Owner · (804) 878-9000
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 22, 2023
Certification dateApril 22, 2023
Mailing address11424 Old Mountain Rd, Glen Allen, VA 23060-1916

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