MEDICARE: PREMIER MEDICAL 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1760337968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER MEDICAL TRANSIT LLC

Provider Business Mailing Address
First Line	:	7950 S BERGAMOT AVE UNIT 2320
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-3847
Country	:	US
Telephone Number	:	605-900-1109
Fax Number	:

Provider Business Practice Location Address
First Line	:	7950 S BERGAMOT AVE UNIT 2320
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-3847
Country	:	US
Telephone Number	:	605-900-1109
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATIE ASHFORD
Credential	:
Telephone Number	:	605-900-1109

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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