Provider Demographics
NPI:1598951642
Name:PREMIER SPECIAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:PREMIER SPECIAL TRANSPORTATION INC
Other - Org Name:PST INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-581-3027
Mailing Address - Street 1:3936 E FRONTAGE RD
Mailing Address - Street 2:UNIT # 124
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-0108
Mailing Address - Country:US
Mailing Address - Phone:507-581-3027
Mailing Address - Fax:507-252-1126
Practice Address - Street 1:2130 S BROADWAY
Practice Address - Street 2:SUITE # 100
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-5559
Practice Address - Country:US
Practice Address - Phone:507-581-3027
Practice Address - Fax:507-252-1126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-22
Last Update Date:2007-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)