Provider Demographics
NPI:1073192894
Name:PRIORITY NEM TRANSPORTATION LLC
Entity type:Organization
Organization Name:PRIORITY NEM TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-821-5151
Mailing Address - Street 1:923 ROSEWOOD TER
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-1434
Mailing Address - Country:US
Mailing Address - Phone:804-821-5151
Mailing Address - Fax:
Practice Address - Street 1:923 ROSEWOOD TER
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-1434
Practice Address - Country:US
Practice Address - Phone:804-821-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)