Organization
MISSION RIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN BERGENER (OPERATIONS DIRECTOR)
(509) 307-7365
Entity
Organization
Contact information
Practice address
63 N 100 W, PIMA, AZ 85543-9845
(206) 208-7717
(206) 691-8689
Mailing address
2030 W BASELINE RD # 182-1551, PHOENIX, AZ 85041-6574
(206) 208-7717
(206) 691-8689
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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