Organization
BRIGHTSTAR SERVICES LLC
Active
Other names
A1 Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TULASI R POKHREL (DIRECTOR)
(602) 405-2883
Entity
Organization
Contact information
Practice address
7234 N 19TH AVE, PHOENIX, AZ 85021-7931
(602) 405-2883
Mailing address
7234 N 19TH AVE, PHOENIX, AZ 85021-7931
(602) 405-2883
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
CH-01405
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
706689
AHCCCS PROVIDER ID
—
Enumeration date
06/25/2012
Last updated
06/25/2012
Update your record
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