Organization
PREMIER MEDICAL TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO MYRELL (PRESIDENT/CEO)
(909) 433-3939
Entity
Organization
Contact information
Practice address
575 MAPLE COURT, SUITE #A, COLTON, CA 92324
(909) 433-3939
(909) 433-3934
Mailing address
P.O. BOX 690, COLTON, CA 92324
(909) 433-3939
(909) 433-3934
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01064F
—
CA
Enumeration date
07/12/2006
Last updated
11/14/2011
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