Organization
PRIMECARE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIA JIMMY ISOMANGA OWNER (MANAGING MEMBER)
(623) 800-9402
Entity
Organization
Contact information
Practice address
7943 W ORANGE DR, GLENDALE, AZ 85303-5563
(623) 800-9402
Mailing address
7943 W ORANGE DR, GLENDALE, AZ 85303-5563
(623) 800-9402
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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