Organization
COGENT NON-EMERGENCY TRANSPORT
Active
Parent organization
ANNAPURNA, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNAPURNA, INC.
Authorized official
MR. ANDREW MICHAEL NAVARRO SR. (ACCOUNT EXECUTIVE)
(602) 909-6533
Entity
Organization
Contact information
Practice address
3230 E BROADWAY RD, STE. C130, PHOENIX, AZ 85040-2873
(602) 909-6533
Mailing address
480 E WINCHESTER ST, STE. 210, SALT LAKE CITY, UT 84107-7588
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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