Healthcare Provider Details

I. General information

NPI: 1780567495
Provider Name (Legal Business Name): PRIMARY TRANSIT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 SEEBA LN
GARBERVILLE CA
95542-9742
US

IV. Provider business mailing address

PO BOX 395
MIRANDA CA
95553-0395
US

V. Phone/Fax

Practice location:
  • Phone: 707-499-9539
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ALISON BULLOCK
Title or Position: OWNER
Credential:
Phone: 707-499-9539