Healthcare Provider Details

I. General information

NPI: 1871429217
Provider Name (Legal Business Name): SAFEWAY MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 DAFFODIL LN
PINE HILL AL
36769-2966
US

IV. Provider business mailing address

85 DAFFODIL LN
PINE HILL AL
36769-2966
US

V. Phone/Fax

Practice location:
  • Phone: 334-507-4734
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BERNESHIA PRITCHETT
Title or Position: OWNER
Credential:
Phone: 334-507-4734