Premier Medical Transportation

Primary specialty

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

Legal business name

PREMIER MEDICAL TRANSPORTATION

Practice address

12910 Luca Station Way
Woodbridge, VA 22192-7700

Phone

(877) 768-1357

NPI assigned

Apr 23, 2021

Last updated

Apr 23, 2021By 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

Andra Hall

Title

Ceo

Phone

(877) 768-1357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1053993683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6564 LOISDALE CT STE 600",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501829",
            "telephone_number": "877-768-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 LUCA STATION WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927700",
            "telephone_number": "877-768-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-768-1357"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precious Jewel Healthcare Services
• Precise Medical Imaging
• Precision Orthopedics and Sports Medicine (Precision Orthopedics and Sports Medicine - Woodbridge)
• Precision Orthopedics and Sports Medicine
• Premier Anesthesia of Virginia LLC
• Premier Plus Community Living LLC
• Nicole Prescott
• Cyrus Minoo Press, M.D.
• Prestige Chiropractic, LLC (Prestige Chiropractic)
• Prestige Community Services LLC

• Non-emergency Medical Transport (VAN) in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.