ARIZONA ROAD-RUNNER SHUTTLE (NPI# 1073648879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073648879 |
| Entity Type | Organization |
| Organization Name | ARIZONA ROAD-RUNNER SHUTTLE |
| Practice Address |
2169 Swanson Ave Unit 10 Lake Havasu City AZ 86403-6878 |
| Practice Telephone | 9288549333 |
| Practice Fax Number | 9284539234 |
| Mailing Telephone | 9288549333 |
| Mailing Fax Number | 9284539234 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ALLEN DEAN PAYNE (OWNER) |
| Authorized Official Telephone | 9284865844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 098350 | 01 |
| Street Address |
2169 SWANSON AVE UNIT 10 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-6878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| 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 |
|---|---|---|---|---|
| 1629518311 | Desert Health Transport Inc. | Non-emergency Medical Transport (VAN) | 2750 Hidden Valley Dr, Lake Havasu City, AZ 86404-3993 | 2017-03-01 |
| 1265759260 | Debra Ahles | Non-emergency Medical Transport (VAN) | 2885 Papeete Dr, Lake Havasu City, AZ 86404-3324 | 2010-04-29 |
| 1659319390 | Statewide Express | Non-emergency Medical Transport (VAN) | 3417 Maricopa Ave, Lake Havasu City, AZ 86406-9041 | 2006-06-03 |
| 1518201524 | Arizona Express Transportation, LLC | Non-emergency Medical Transport (VAN) | 3417 Maricopa Ave, Lake Havasu City, AZ 86406-9197 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033500 | M&m Medical Transportation | Non-emergency Medical Transport (VAN) | 4421 W Cholla St, Glendale, AZ 85304-3533 | 2020-11-03 |
| 1528667045 | Raymond George Bulot | Non-emergency Medical Transport (VAN) | 2331 W Palm Ln, Phoenix, AZ 85009-2902 | 2020-10-26 |
| 1033718275 | Husameldin Osman | Non-emergency Medical Transport (VAN) | 4610 S Rural Rd Apt 508, Tempe, AZ 85282-7039 | 2020-10-19 |
| 1306452552 | Michael Rebuck | Non-emergency Medical Transport (VAN) | 1325 W Roma Ave, Phoenix, AZ 85013-2827 | 2020-09-22 |
| 1942812417 | Hopefaith Transportation Inc | Non-emergency Medical Transport (VAN) | 4422 N 75th St Unit 6010, Scottsdale, AZ 85251-4080 | 2020-08-17 |
| 1174131247 | Nemt Solution | Non-emergency Medical Transport (VAN) | 872 E Morelos St, Chandler, AZ 85225-6465 | 2020-07-15 |
| 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 |
| 1669094199 | Up Right Transportation LLC | Non-emergency Medical Transport (VAN) | 4532 E Gleneagle Dr, Chandler, AZ 85249-7428 | 2020-05-06 |
| 1124649165 | Tracie Armstead-payton | Non-emergency Medical Transport (VAN) | 42778 W Irene Rd, Maricopa, AZ 85138-5898 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on ARIZONA ROAD-RUNNER SHUTTLE.
| 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.