Provider Demographics
NPI:1780567495
Name:PRIMARY TRANSIT LLC
Entity type:Organization
Organization Name:PRIMARY TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:BULLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-499-9539
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:MIRANDA
Mailing Address - State:CA
Mailing Address - Zip Code:95553-0395
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3952 SPROWEL CREEK RD
Practice Address - Street 2:
Practice Address - City:GARBERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95542-9696
Practice Address - Country:US
Practice Address - Phone:707-499-9539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No341600000XTransportation ServicesAmbulance
No347E00000XTransportation ServicesTransportation Broker