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NPI Code Detail

MEDICARE: PRIORITY TRANSIT, LLC

MEDICARE: PRIORITY TRANSIT, 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
1344600000XTaxi
2343900000XNon-emergency Medical Transport (VAN)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033421458
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIORITY TRANSIT, LLC
Provider Business Mailing Address
First Line : 2336 E MAGNOLIA ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85034-6819
Country : US
Telephone Number : 602-231-0102
Fax Number : 602-621-4967
Provider Business Practice Location Address
First Line : 2336 E MAGNOLIA ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85034-6819
Country : US
Telephone Number : 602-231-0102
Fax Number : 602-621-4967
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JILL J GILLESPIE
Credential : CPA
Telephone Number : 602-231-0102
Provider Enumeration Date : 07/14/2010
Last Update Date : 07/14/2010

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Directions to “PRIORITY TRANSIT, LLC ” Practice Location

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