PAUL VINCENT HERREN (NPI# 1225674609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225674609 |
| Entity Type | Individual |
| Full Name | PAUL VINCENT HERREN |
| Practice Address |
2543 Citrus Ln Lake Havasu City AZ 86403-4902 |
| Practice Telephone | 4802058982 |
| Mailing Telephone | 4802058982 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | CNM8581 | AZ | Transportation Services |
| Street Address |
2543 CITRUS LN |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-4902 |
| 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 | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003128349 | Buena Suerte, Inc. | Private Vehicle | 387 Lake Havasu Ave S, Suite 102, Lake Havasu City, AZ 86403-9306 | 2010-07-01 |
| 1417302506 | Cornerstone Family Care, LLC | Private Vehicle | 387 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-9306 | 2016-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746486 | James Howard Adams Sr. | Private Vehicle | 30131 W Fairmount Ave, Buckeye, AZ 85396-2184 | 2020-10-01 |
| 1164053047 | Home Care Phx LLC | Private Vehicle | 2322 W Sleepy Ranch Rd, Phoenix, AZ 85085-7038 | 2020-01-30 |
| 1609346097 | Kari Yvette Dunn | Private Vehicle | 15107 W Evening Star Trl, Surprise, AZ 85374-4474 | 2018-11-28 |
| 1619463494 | Compassion Care Home, LLC | Private Vehicle | 2863 N 64th Street, Mesa, AZ 85215 | 2018-07-05 |
| 1821587361 | Zayden Transportation Services LLC | Private Vehicle | 16399 West Cielo Grande Avenue, Surprise, AZ 85387 | 2018-05-09 |
| 1366818189 | Azul Cossart | Private Vehicle | 1905 W Las Palmaritas Dr, 268, Phoenix, AZ 85021-5000 | 2015-08-16 |
| 1336547892 | Family Trans LLC | Private Vehicle | 38 S Robson Ste 2, Mesa, AZ 85210-1344 | 2014-12-16 |
| 1649688896 | Legacy Behavioral Health,llc | Private Vehicle | 2224 W Sax Canyon Ct, Anthem, AZ 85086-3657 | 2014-07-31 |
| 1326458555 | Norman Loya | Private Vehicle | 7620 W Wolf St, Phoenix, AZ 85033 | 2014-04-28 |
| 1023442779 | Aztec Transportation | Private Vehicle | 2596 W Bluffs Peak Ct, Tucson, AZ 85742-4479 | 2013-08-29 |
| 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 PAUL VINCENT HERREN.
| 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.