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Organization

COMTRANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JILL GILLESPIE CPA (CHIEF FINANCIAL OFFICER)
(602) 231-0102
Entity
Organization

Contact information

Practice address
2336 E MAGNOLIA ST, PHOENIX, AZ 85034-6819
(602) 231-0102
(602) 231-0015
Mailing address
2336 E MAGNOLIA ST, PHOENIX, AZ 85034-6819
(602) 231-0102
(602) 231-0015

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515025
AHCCCS ID NUMBER
AZ
Enumeration date
01/10/2007
Last updated
09/03/2010
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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