Organization
PREMIUM TRANSPORTATION
Active
Organization
PREMIUM TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMIE FIELDS III (OWNER)
(901) 517-6347
Entity
Organization
Contact information
Practice address
7800 FALLSTONE RD, MEMPHIS, TN 38125-3651
(901) 517-6347
Mailing address
7800 FALLSTONE RD, MEMPHIS, TN 38125-3651
(901) 517-6347
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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