MEDICARE: PATRICKS PREMIER TRANSPORTATION

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	172A00000X	Driver

General Provider Information

NPI Number	:	1235062910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICKS PREMIER TRANSPORTATION

Provider Business Mailing Address
First Line	:	2235 YERRICK CIR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-2333
Country	:	US
Telephone Number	:	330-485-3899
Fax Number	:

Provider Business Practice Location Address
First Line	:	2235 YERRICK CIR
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-2333
Country	:	US
Telephone Number	:	330-485-3899
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICK WARD
Credential	:
Telephone Number	:	330-485-3899

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “PATRICKS PREMIER TRANSPORTATION ” Practice Location

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