MEDICARE: PRIMECARE 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
1	347B00000X	Bus

General Provider Information

NPI Number	:	1871448050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIMECARE TRANSIT, LLC

Provider Business Mailing Address
First Line	:	4450 MITCHELLVILLE RD # 1286
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-3112
Country	:	US
Telephone Number	:	240-962-5995
Fax Number	:

Provider Business Practice Location Address
First Line	:	15228 N BERWICK LN
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9029
Country	:	US
Telephone Number	:	240-962-5995
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WALTER GREEN
Credential	:
Telephone Number	:	240-962-5995

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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