Provider Demographics
NPI:1033916671
Name:PRIMECHOICE TRANSPORT INC
Entity type:Organization
Organization Name:PRIMECHOICE TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-209-9870
Mailing Address - Street 1:1112 WASHINGTON MEMORIAL DR APT 210
Mailing Address - Street 2:
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301
Mailing Address - Country:US
Mailing Address - Phone:612-209-9870
Mailing Address - Fax:
Practice Address - Street 1:1112 WASHINGTON MEMORIAL DR APT 210
Practice Address - Street 2:
Practice Address - City:ST CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301
Practice Address - Country:US
Practice Address - Phone:612-209-9870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)