Provider Demographics
NPI:1245620525
Name:MEDICAL TRANSPORTATION SOLUTIONS LLC
Entity Type:Organization
Organization Name:MEDICAL TRANSPORTATION SOLUTIONS LLC
Other - Org Name:PREMIER MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-551-3699
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:663 OLD CAMBRIDGE RD.
Mailing Address - City:HENRIETTA
Mailing Address - State:TX
Mailing Address - Zip Code:76365-0147
Mailing Address - Country:US
Mailing Address - Phone:972-551-3699
Mailing Address - Fax:
Practice Address - Street 1:663 OLD CAMBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:TX
Practice Address - Zip Code:76365-5642
Practice Address - Country:US
Practice Address - Phone:972-551-3699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX801042346343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi