Organization
AMG PREMIRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HANNA (PRESIDENT)
(909) 740-3217
Entity
Organization
Contact information
Practice address
600 N MOUNTAIN AVE STE C201, UPLAND, CA 91786-4367
(909) 740-3217
(888) 636-4512
Mailing address
600 N MOUNTAIN AVE STE C201, UPLAND, CA 91786-4367
(909) 740-3217
(888) 636-4512
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
TCP0037598-P
CA
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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