Provider Demographics
NPI:1851958961
Name:PREMIER NON EMERGENCY MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:PREMIER NON EMERGENCY MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-440-0126
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:VA
Mailing Address - Zip Code:24084-0165
Mailing Address - Country:US
Mailing Address - Phone:540-577-3466
Mailing Address - Fax:
Practice Address - Street 1:1416 ENGLISH FOREST RD
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-3008
Practice Address - Country:US
Practice Address - Phone:540-577-3466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)