Organization
ROUTE 66 CAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HEATLEY (MANAGER)
(928) 303-7314
Entity
Organization
Contact information
Practice address
3595 E US HIGHWAY 66, KINGMAN, AZ 86409
(928) 681-6600
(877) 774-3392
Mailing address
3595 E US HIGHWAY 66, KINGMAN, AZ 86409
(928) 681-6600
(877) 774-3392
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
09-6258
AZ
344600000X
Taxi
94-6258
AZ
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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