Organization
PRIMECARE MEDICAL TRANSPORT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN R. FRY (CFO)
(302) 422-0900
Entity
Organization
Contact information
Practice address
568 MILFORD HARRINGTON HWY, MILFORD, DE 19963-5306
(302) 422-0900
(302) 422-1082
Mailing address
568 MILFORD HARRINGTON HWY, P.O. BOX 839, MILFORD, DE 19963-5306
(302) 422-0900
(302) 422-1082
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1997113238
DE
343900000X
Non-emergency Medical Transport (VAN)
1997113238
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00007731715
—
DE
05
—
0000788215
—
DE
01
—
0461460000
AMERIHEALTH
DE
01
—
81-00547
EVERCARE
CT
Enumeration date
07/03/2006
Last updated
05/03/2012
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