Provider Demographics
NPI:1275307241
Name:BEVELS ELITE PRIORITIES LLC
Entity Type:Organization
Organization Name:BEVELS ELITE PRIORITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:BEVELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-712-5606
Mailing Address - Street 1:900 EASTERN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-1711
Mailing Address - Country:US
Mailing Address - Phone:757-712-5606
Mailing Address - Fax:
Practice Address - Street 1:900 EASTERN VIEW DR
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-1711
Practice Address - Country:US
Practice Address - Phone:757-712-5606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)