Organization
ARIZONA SENIOR TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS H FOLLAN (OWNER)
(520) 573-6221
Entity
Organization
Contact information
Practice address
6450 E GOLF LINKS RD, #2097, TUCSON, AZ 85730-4901
(520) 573-6221
(520) 573-6221
Mailing address
6450 E GOLF LINKS RD, #2097, TUCSON, AZ 85730-4901
(520) 573-6221
(520) 573-6221
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0169216
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756017
A.H.C.C.S.
AZ
Enumeration date
06/15/2007
Last updated
12/07/2007
Update your record
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