Provider Demographics
NPI:1720771967
Name:PREMIERTRANS NON-EMERGENCY MEDICAL TRANSPORATION CORP.
Entity Type:Organization
Organization Name:PREMIERTRANS NON-EMERGENCY MEDICAL TRANSPORATION CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-486-4333
Mailing Address - Street 1:5373 LOCH LOMOND RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-9048
Mailing Address - Country:US
Mailing Address - Phone:901-486-3333
Mailing Address - Fax:
Practice Address - Street 1:5373 LOCH LOMOND RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-9048
Practice Address - Country:US
Practice Address - Phone:901-486-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)