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NPI Code Detail

MEDICARE: PRIMEMED TRANSIT LLC

MEDICARE: PRIMEMED TRANSIT 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1477481745
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMEMED TRANSIT LLC
Provider Business Mailing Address
First Line : PO BOX 4032
Second Line :
City : SHREVEPORT
State : LA
Zip : 71134-0032
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2204 HOLLYWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71108-3924
Country : US
Telephone Number : 318-229-0421
Fax Number :
Authorized Official
Title or Position : OWNER
Name : THAWRI DARAMNA
Credential :
Telephone Number : 318-229-0421
Provider Enumeration Date : 05/08/2026
Last Update Date : 05/08/2026

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Directions to “PRIMEMED TRANSIT LLC ” Practice Location

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