Provider Demographics
NPI:1275750796
Name:PREMIER MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:PREMIER MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANEMELU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-674-4005
Mailing Address - Street 1:192 CENTRAL AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-3323
Mailing Address - Country:US
Mailing Address - Phone:973-674-4005
Mailing Address - Fax:
Practice Address - Street 1:192 CENTRAL AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-3323
Practice Address - Country:US
Practice Address - Phone:973-674-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7254504Medicaid