Organization
GENTLE CARE TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD CHRISTENSEN (PRESIDENT)
(928) 322-1458
Entity
Organization
Contact information
Practice address
3333 W 8TH ST STE A, THATCHER, AZ 85552-5444
(928) 428-3135
Mailing address
3333 W 8TH ST STE A, THATCHER, AZ 85552-5444
(928) 428-3135
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
578768
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578768
—
AZ
Enumeration date
03/22/2007
Last updated
08/22/2020
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