Premier Medical Transport LLC

Primary specialty

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

License

382 Issued in VA

Legal business name

PREMIER MEDICAL TRANSPORT LLC

Practice address

8708 Raleigh Mews
Gainesville, VA 20155-5907

Phone

(571) 606-9220

Fax

(571) 284-7383

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Ashes

Title

Manager

Phone

(571) 606-9220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1487009270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 RALEIGH MEWS",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201555907",
            "telephone_number": "571-606-9220",
            "fax_number": "571-284-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 RALEIGH MEWS",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201555907",
            "telephone_number": "571-606-9220",
            "fax_number": "571-284-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "ASHES",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-606-9220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "VA",
            "license": "382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Gainesville, VA
• Providers in Gainesville, 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 28, 2016; 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.