Organization
NETCOR TRANSPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL G CORTEZ (PROGRAM DIRECTOR)
(480) 688-9497
Entity
Organization
Contact information
Practice address
1010 E INDIAN SCHOOL RD, PHOENIX, AZ 85014-4810
(623) 243-7245
(480) 522-3608
Mailing address
PO BOX 14449, PHOENIX, AZ 85063-4449
(623) 243-7245
(480) 522-3608
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249302
AHCCCS
AZ
05
—
249302
—
AZ
Enumeration date
02/27/2008
Last updated
02/27/2008
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