Organization
PRIME TRANSIT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE CLIPPS SR. (OWNER/OPERATOR)
(504) 957-5062
Entity
Organization
Contact information
Practice address
27 KRISTEN CT, NEW ORLEANS, LA 70128-1171
(337) 426-0821
Mailing address
PO BOX 58617, NEW ORLEANS, LA 70158-8617
(337) 426-0821
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
7954
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020229107
DEPT OF CHILDREN FAMILIES SERVICES
LA
Enumeration date
04/11/2017
Last updated
04/11/2017
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