AZ MEDICAL TRANSPORT (NPI# 1053866376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053866376 |
| Entity Type | Organization |
| Organization Name | AZ MEDICAL TRANSPORT |
| Practice Address |
9120 W Cambridge Ave Phoenix AZ 85037-4251 |
| Practice Telephone | 4147957960 |
| Mailing Telephone | 4147957960 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Authorized Official Name | MR. ZEPHANIAH MADLOCK (CEO) |
| Authorized Official Telephone | 4147957960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | AZ | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544040 | Az Medical Transport | Private Vehicle | 327 Walnut St W, Allendale, SC 29810-3662 | 2015-12-31 |
| Street Address |
9120 W CAMBRIDGE AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85037-4251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969828 | Live Well Assisted Living LLC | Psychiatric Residential Treatment Facility | 9210 W Loow Bend Lane, Phoenix, AZ 85037 | 2020-07-10 |
| 1770126260 | Medical Management Systems, Inc. | Assisted Living Facility | 2209 N. Rascon Loop, Phoenix, AZ 85037 | 2019-10-28 |
| 1346800760 | Sonoran Sky Family Dentistry | Dentist | 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 | 2019-06-18 |
| 1578025136 | Jennifer Natasha Kunz | Nurse Practitioner | Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 | 2019-04-03 |
| 1740751320 | Mariposa Phoenix Al Partners, Lp | Assisted Living Facility | 3100 N 91st Avenue, Phoenix, AZ 85037 | 2018-12-08 |
| 1417442799 | Prop Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 | 2018-06-28 |
| 1922522242 | Tree of Life Mental Health Systems, LLC | Behavior Technician | 8400 W. Virginia, #1138, Phoenix, AZ 85037 | 2017-07-28 |
| 1720500465 | Moc Phoenix, LLC | Assisted Living Facility | 3000 N. 91st Avenue, Phoenix, AZ 85037 | 2017-07-14 |
| 1407385826 | Not Alone Home Care, LLC | In Home Supportive Care | 9422 W Palm Lane, Phoenix, AZ 85037 | 2017-06-08 |
| 1063953081 | Karla Soward | Radiologic Technologist | 2015 N Rascon Loop, Phoenix, AZ 85037 | 2017-03-09 |
| Find all providers in zip 85037 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667045 | Raymond George Bulot | Non-emergency Medical Transport (VAN) | 2331 W Palm Ln, Phoenix, AZ 85009-2902 | 2020-10-26 |
| 1306452552 | Michael Rebuck | Non-emergency Medical Transport (VAN) | 1325 W Roma Ave, Phoenix, AZ 85013-2827 | 2020-09-22 |
| 1942826219 | Ashraf Ali Omer Sr. | Non-emergency Medical Transport (VAN) | 19820 N 13th Ave Unit 147, Phoenix, AZ 85027-4310 | 2020-06-22 |
| 1184240954 | Extreme Medical Transportation | Non-emergency Medical Transport (VAN) | 34000 N 27th Dr Unit 3069, Phoenix, AZ 85085-6646 | 2020-06-17 |
| 1770122103 | Teodor Daniel Oprea | Non-emergency Medical Transport (VAN) | 514 E Morrow Dr, Phoenix, AZ 85024-2860 | 2020-01-02 |
| 1740827765 | Omer Mohamed | Non-emergency Medical Transport (VAN) | 1606 W Peoria Ave Apt 103, Phoenix, AZ 85029-5702 | 2019-12-09 |
| 1255977930 | Prince Med Trans LLC | Non-emergency Medical Transport (VAN) | 3834 W Golden Ln, Phoenix, AZ 85051-3759 | 2019-11-18 |
| 1730738915 | Shareef Daoud | Non-emergency Medical Transport (VAN) | 8111 N 19th Ave Apt 2038, Phoenix, AZ 85021-5168 | 2019-09-10 |
| 1184273401 | Best Deal LLC | Non-emergency Medical Transport (VAN) | 4020 E Thomas Rd, Phoenix, AZ 85018-7514 | 2019-09-09 |
| 1972064228 | Medlift Inc. | Non-emergency Medical Transport (VAN) | 3311 E Washington St, Phoenix, AZ 85034-1609 | 2019-03-28 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.