Provider Demographics
NPI:1770244071
Name:ELITE TRANSIT LLC
Entity Type:Organization
Organization Name:ELITE TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VESTER
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:II
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:918-650-3161
Mailing Address - Street 1:PO BOX 939
Mailing Address - Street 2:
Mailing Address - City:MOUNDS
Mailing Address - State:OK
Mailing Address - Zip Code:74047-0939
Mailing Address - Country:US
Mailing Address - Phone:918-998-7667
Mailing Address - Fax:
Practice Address - Street 1:900 BRYAN CIR
Practice Address - Street 2:
Practice Address - City:MOUNDS
Practice Address - State:OK
Practice Address - Zip Code:74047-5392
Practice Address - Country:US
Practice Address - Phone:918-998-7668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)