Provider Demographics
NPI:1720531411
Name:PRIORITY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:PRIORITY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-934-7605
Mailing Address - Street 1:140 W WASHINGTON ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5254
Mailing Address - Country:US
Mailing Address - Phone:757-934-7605
Mailing Address - Fax:757-934-6718
Practice Address - Street 1:140 W WASHINGTON ST
Practice Address - Street 2:SUITE 108
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5254
Practice Address - Country:US
Practice Address - Phone:757-934-7605
Practice Address - Fax:757-934-6718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)