Provider Demographics
NPI:1295384634
Name:FIRSTCALL NON-EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:FIRSTCALL NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEEN-JOLLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-301-9935
Mailing Address - Street 1:PO BOX 2558
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34995-2558
Mailing Address - Country:US
Mailing Address - Phone:772-301-9935
Mailing Address - Fax:
Practice Address - Street 1:1908 SE WALTON LAKES DR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5110
Practice Address - Country:US
Practice Address - Phone:772-301-9935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)