Organization
COMMUNITY MEDICAL SERVICES IV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEELY N. TORRES (QUALITY IMPROVEMENT)
(602) 248-8886
Entity
Organization
Contact information
Practice address
3825 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 248-8886
(602) 248-8999
Mailing address
3825 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 248-8886
(602) 248-8999
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BH-2701
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
961898
—
AZ
Enumeration date
06/18/2007
Last updated
06/25/2009
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