Provider Demographics
NPI:1225361116
Name:PREMIER TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:PREMIER TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HAMILTON
Authorized Official - Last Name:SMYTHE
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:901-577-7711
Mailing Address - Street 1:581 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38126-3001
Mailing Address - Country:US
Mailing Address - Phone:901-577-7711
Mailing Address - Fax:901-577-7765
Practice Address - Street 1:581 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38126-3001
Practice Address - Country:US
Practice Address - Phone:901-577-7711
Practice Address - Fax:901-577-7765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5LUC7OtherCENTRAL CONTRACTOR REGISTRATION NUMBER