Healthcare Provider Details

I. General information

NPI: 1699301093
Provider Name (Legal Business Name): PRIORITYONE EMS AND MEDICAL SUPPLY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 06/12/2020
Certification Date: 06/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 CRAWFORD ST
LOWELL MA
01854-1634
US

IV. Provider business mailing address

PO BOX 182
LOWELL MA
01853-0182
US

V. Phone/Fax

Practice location:
  • Phone: 978-230-9668
  • Fax: 866-253-8848
Mailing address:
  • Phone: 978-230-9668
  • Fax: 866-253-8848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY CLAUDE PERKINS
Title or Position: PRESIDENT
Credential: EMT
Phone: 978-230-9668