Provider Demographics
NPI:1316469935
Name:PRECIOUS CARGO TRANSPORTATION, INC.
Entity type:Organization
Organization Name:PRECIOUS CARGO TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-233-3333
Mailing Address - Street 1:710 NE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4773
Mailing Address - Country:US
Mailing Address - Phone:541-233-3333
Mailing Address - Fax:541-323-3193
Practice Address - Street 1:710 NE 1ST ST
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4773
Practice Address - Country:US
Practice Address - Phone:541-233-3333
Practice Address - Fax:541-323-3193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR343900000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)