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NPI 1366726499 · live from the CMS NPI Registry

Group Non Emergency Medical Tranesport

Non-emergency Medical Transport (VAN) in Phoenix, AZ. National Provider Identifier 1366726499, active.

NPI record

NPI1366726499 Type 2 · organization
StatusActive
Primary specialtyNon-emergency Medical Transport (VAN) 343900000X
Practice location7204 S 13 St, 7204 S 13 St, Phoenix, AZ 85042
Practice phone480-567-4467
Mailing address7204 S 13th St, 7204 S 13th St, Phoenix, AZ 85042
EnumeratedOctober 7, 2011
Last updatedOctober 7, 2011
Authorized officialGemachu Mohammed, Owner
Other namesGroup Non Emergency Medical Transport

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance341600000X341600000X (AZ)
Non-emergency Medical Transport (VAN) primary343900000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.