Provider Demographics
NPI:1164247565
Name:C&R PREMIER TRANSPORTATION CO
Entity type:Organization
Organization Name:C&R PREMIER TRANSPORTATION CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-606-5102
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:CHARLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01507-0700
Mailing Address - Country:US
Mailing Address - Phone:774-606-5102
Mailing Address - Fax:
Practice Address - Street 1:39 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-8752
Practice Address - Country:US
Practice Address - Phone:774-606-5102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)