Organization
ARIZONA CARE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL MILLS (OWNER/OPERATOR)
(503) 405-0094
Entity
Organization
Contact information
Practice address
2681 VIA PALMA, LAKE HAVASU CITY, AZ 86406-7703
(503) 405-0094
Mailing address
2681 VIA PALMA, LAKE HAVASU CITY, AZ 86406-7703
(503) 405-0094
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942926647
MEDICARE
AZ
Enumeration date
10/20/2022
Last updated
10/20/2022
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