Premium Care Medical Transport LLC

NPI #1629416078 in Upper Darby, Pennsylvania

Provider Information

NPI Number: 1629416078
Entity Type: Organization
Organization Name: Premium Care Medical Transport LLC
Primary Specialty: Ambulance
Enumeration Date: Jun 7, 2013
Last Updated: Jun 7, 2013

Practice Location

Address: 8600 W CHESTER PIKE
Address 2: SUITE 306
City: Upper Darby
State: Pennsylvania
ZIP Code: 19082-2629
Phone: (610) 446-1339

Authorized Official

Name: SAMUEL CHARLES
Title: EXECUTIVE DIRECTOR
Phone: (267) 227-9133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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