Premier Medical Transport Service

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

004012863 Issued in SC

Legal business name

PREMIER MEDICAL TRANSPORT SERVICE

Practice address

120 Glenaire Dr
Greer, SC 29650

Phone

(864) 553-5344

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Avery-Dodd

Title

Owner

Phone

(864) 553-5344

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1033593389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296870002",
            "telephone_number": "864-553-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GLENAIRE DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-553-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL TRANSPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "AVERY-DODD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-553-5344"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "004012863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Leeann Pouska, M.ED.
• David Powell
• Virginia Kay Powell, PTA
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• Preferred Care Solutions LLC
• Premier Neurology, PC
• Premise Health of South Carolina Medical PC (Associate Family Health Center)
• Premise Health of South Carolina Medical, P.C (Associate Family Health Center)
• Premise Health of South Carolina Medical, P.C (Associate Family Health Center)
• Valerie Jean Presley, COTA

• Non-emergency Medical Transport (VAN) in Greer, SC
• Providers in Greer, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.