Provider Demographics
NPI:1750317483
Name:PRIORITY CARE MEDICAL TRANSPORT, LLC
Entity type:Organization
Organization Name:PRIORITY CARE MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT & SECRETAR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:KARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-600-2501
Mailing Address - Street 1:740 S ROCHESTER STE E
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-8179
Mailing Address - Country:US
Mailing Address - Phone:800-600-2501
Mailing Address - Fax:800-600-2502
Practice Address - Street 1:165 EAST RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:VIDOR
Practice Address - State:TX
Practice Address - Zip Code:77662-4915
Practice Address - Country:US
Practice Address - Phone:800-600-3320
Practice Address - Fax:800-600-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800156341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance