Organization
DEPENDABLE MEDICAL TRANSPORT SERVICES, LLC
Active
Other names
D M T S
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GANLEY (PRESIDENT)
(602) 235-2255
Entity
Organization
Contact information
Practice address
2237 N 36TH ST, PHOENIX, AZ 85008-3001
(602) 235-2255
(602) 275-1914
Mailing address
2237 N 36TH ST, PHOENIX, AZ 85008-3001
(602) 235-2255
(602) 275-1914
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
737661
AHCCCS PROVIDER ID
AZ
Enumeration date
03/13/2007
Last updated
08/22/2020
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