Organization
RED ROCK TAXI
Active
Other names
EDWARD G BASS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD GREGORY BASS (OWNER)
(928) 713-7933
Entity
Organization
Contact information
Practice address
4520 E ROBIN DR, PRESCOTT, AZ 86301-5818
(928) 713-7933
Mailing address
4520 E ROBIN DR, PRESCOTT, AZ 86301-5818
(928) 713-7933
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
D02109099
AZ
344600000X
Taxi
Primary
D02109099
AZ
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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