MEDICARE: PREFERRED CARRIER NEMT 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	:	1851021554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED CARRIER NEMT LLC

Provider Business Mailing Address
First Line	:	PO BOX 19225
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-9225
Country	:	US
Telephone Number	:	423-280-2433
Fax Number	:	423-521-3792

Provider Business Practice Location Address
First Line	:	3922 YORKTOWN RD
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-2228
Country	:	US
Telephone Number	:	423-280-2433
Fax Number	:	423-521-3792

Authorized Official
Title or Position	:	CEO OWNER
Name	:	CASSANDRA BARROW
Credential	:
Telephone Number	:	423-280-2433

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	09/14/2023

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