Organization
PREMIER MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRA HALL (CEO)
(877) 768-1357
Entity
Organization
Contact information
Practice address
12910 LUCA STATION WAY, WOODBRIDGE, VA 22192-7700
(877) 768-1357
Mailing address
6564 LOISDALE CT STE 600, SPRINGFIELD, VA 22150-1829
(877) 768-1357
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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