Organization
TRUCARE MED TRANS LLC.
Active
Other names
NON-EMERGENCY TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY L. CASEY (DIRECTOR OF OPERATIONS)
(602) 435-6217
Entity
Organization
Contact information
Practice address
4836 E. WESTERN STAR BLVD., PHOENIX, AZ 85044-1221
(602) 274-0774
(480) 588-6365
Mailing address
4836 E. WESTERN STAR BLVD., PHOENIX, AZ 85044-1221
(602) 435-6217
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BMF38666
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000028178
PROCURE.AZ.GOV VENDOR: 000028178
AZ
Enumeration date
09/06/2012
Last updated
02/10/2013
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