Organization
AZ PATIENT TRANSPORT
Active
Other names
State Wide Express Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY NOEL HUGGANS (PARTNER)
(480) 228-7754
Entity
Organization
Contact information
Practice address
1790 N PINAL AVE, CASA GRANDE, AZ 85122
(520) 836-0303
(520) 836-1114
Mailing address
P.O. BOX 4003, YUMA, AZ 85366
(520) 836-0303
(520) 836-1114
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
422832
AZ
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
422832
TRANSPORTATION
AZ
05
—
422832
—
AZ
Enumeration date
08/30/2006
Last updated
10/04/2018
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