Organization Active NPI

Premier Communications & Marketing LLC

Doing business as Premier 1 Medical Transport

  • Private Vehicle
  • Chicago, IL
National Provider Identifier
1942878129
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
PREMIER COMMUNICATIONS & MARKETING LLC
Doing business as
Premier 1 Medical Transport
Practice address
4627 S Langley Ave Apt 1
Chicago, IL 60653-4612
Phone
(312) 933-9564
NPI assigned
Jun 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
James W Wallace
Title
Owner
Phone
(312) 933-9564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

4627 S Langley Ave Apt 1
Chicago, IL 60653-4612

Mailing address

4627 S Langley Ave Apt 1
Chicago, IL 60653-4612
Phone (312) 933-9564

Other names 1

  • Premier 1 Medical Transport Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1942878129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 S LANGLEY AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534612",
            "telephone_number": "312-933-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 S LANGLEY AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534612",
            "telephone_number": "312-933-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER COMMUNICATIONS & MARKETING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-933-9564"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier 1 Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.