MEDICARE: FIRST PRIORITY TRANSPORTATION 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	251E00000X	Home Health Agency
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1417702853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST PRIORITY TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	9307 ASPEN GLEN DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-1748
Country	:	US
Telephone Number	:	317-985-7103
Fax Number	:

Provider Business Practice Location Address
First Line	:	9307 ASPEN GLEN DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46239-1748
Country	:	US
Telephone Number	:	317-985-7103
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PHYLLIS TYLER
Credential	:
Telephone Number	:	317-985-7103

Provider Enumeration Date	:	04/19/2024
Last Update Date	:	08/09/2024

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Directions to “FIRST PRIORITY TRANSPORTATION LLC ” Practice Location

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