MEDICARE: PRESTIGE PATIENT TRANSPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1215368634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESTIGE PATIENT TRANSPORT LLC

Provider Business Mailing Address
First Line	:	934 1/2 BUSINESS 28 STE A
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-1912
Country	:	US
Telephone Number	:	937-690-6100
Fax Number	:	888-273-7025

Provider Business Practice Location Address
First Line	:	934 1/2 BUSINESS 28 STE A
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-1912
Country	:	US
Telephone Number	:	937-378-2470
Fax Number	:	888-273-7025

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAMELA LAYNE MOTTA
Credential	:
Telephone Number	:	513-739-9383

Provider Enumeration Date	:	12/11/2013
Last Update Date	:	04/16/2026

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