Healthcare Provider Details

I. General information

NPI: 1033421458
Provider Name (Legal Business Name): PRIORITY TRANSIT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2010
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2336 E MAGNOLIA ST
PHOENIX AZ
85034-6819
US

IV. Provider business mailing address

2336 E MAGNOLIA ST
PHOENIX AZ
85034-6819
US

V. Phone/Fax

Practice location:
  • Phone: 602-231-0102
  • Fax: 602-621-4967
Mailing address:
  • Phone: 602-231-0102
  • Fax: 602-621-4967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: JILL J GILLESPIE
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 602-231-0102