Provider Demographics
NPI:1861898660
Name:FIRST PRIORITY TRANSPORTATION
Entity type:Organization
Organization Name:FIRST PRIORITY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WONDWOSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASFAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-399-5257
Mailing Address - Street 1:1200 S. COURTHOUSE RD SUITE 712
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:703-399-5257
Mailing Address - Fax:571-982-4901
Practice Address - Street 1:1200 S COURTHOUSE RD APT 712
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-6265
Practice Address - Country:US
Practice Address - Phone:703-399-5257
Practice Address - Fax:571-982-4901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST PRIORITY TRANSPORTATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VABLC-1000977602-03343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)