MEDICARE: PREMIER.NET,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	343900000X	Non-emergency Medical Transport (VAN)	NMPRC54548	NM
2	344600000X	Taxi	NMPRC54548	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1922134113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER.NET,LLC

Provider Business Mailing Address
First Line	:	922 STEFANIE CT
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-0933
Country	:	US
Telephone Number	:	505-523-9393
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 WYATT DR
Second Line	:	SUITE 11
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-2962
Country	:	US
Telephone Number	:	505-523-2466
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SANDRA WATSON
Credential	:
Telephone Number	:	505-523-9393

Provider Enumeration Date	:	02/24/2007
Last Update Date	:	09/11/2025

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Directions to “PREMIER.NET,LLC ” Practice Location

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