Organization
PRIORITY MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONZO R. VENEZIANO (OWNER)
(224) 478-8425
Entity
Organization
Contact information
Practice address
709 N ALPINE RD, ROCKFORD, IL 61107-3607
(224) 478-8425
Mailing address
709 N ALPINE RD, ROCKFORD, IL 61107-3607
(224) 478-8425
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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